1976, 04-23 Permit App: L3516 Addition Cbonfy of Spokane, Wasfinigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (ND
GENERAL REQUIREMENTSPERMIT FE -$. "
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
[�_ APPLICANT FILL IN BELOW THIS LANE ly�,_ie'
Name of Owner 'vn ? T.6,..4„.0-v .. Address L t �' Phone ,=-94/- /` - 6,
Architect O Address iJ Phone
Engineer Address Phone
Contractor �c (}-y�r�. AddressP one !
Legal Description of Property (Give complete description from deed, tax receipt, etc.) -e ✓!'�-L'-O Ykt't�"` � : IL �`' y/ c 07
11 J2/ ir,fi.. L`b 1eOO
) � ` c /4 21 4914- q /l,E e.. 1 . L.4
7 0 6/
t/.'.
DESCRIPTION OF RK: Nen� Addition X Remodel Moving Bld . Zone Fire ne
Size of Lot !"- (' ' &) Sewage System it(°ft const.-A� s`Y' -'
/ H4 / /' Fr., Con. Br., etc.)
Stories Dimensio s / / Total Sq. Ft. S.0 ii
Valuatio •
Rooms Y2A`A. .F'" NA—Fireplace i
Baths ) ,� Basement /'� � Foundation Const.. Chimney Fireplace
fF I art, none) (Kin ) (Number
Heat. System �,i >� Type qoofin 'r-d-�'e-' Ext.` Finis / — I Int. Wall Finish __ -
Use of Bldg. •�• '� �(1.41c Y�^. Tc t-C� ^ c=i' No. of Units_Bedrooms r
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and w& er supply lines.
1 NORTH RESIDENTIAL COMMERCIAL State License No.
(..--____ __ ----.
(.:_ Nv
_ r Ino. Ins. Acct. No.
alt- 4'-
Ort14., r,
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REQUIRED
0 f --1 Plumbing Permit
Gx�( 11 C) Heating Permit
no
vsc Sewage Permit
Plans Received
, j
x ,,}i:1 Ai'''-i'
/ or\V Plans Checked
) L �' I Y`f ti f,y� N. Plans Returned7
Plans Picked Up
Plans Mailed
lt°
SOUTH \'
I hereby cer fy information},submit ed is correct and there are no other structure located on this property except
as shown. f � � ` �i`'
Owner or Agent /
e Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT W(RIT/E(JBELOW THIS LINE /f)
Your street address will be I. /.,)_/-A 7 Li O Kk4_,,,,,,),,., The zone is LX;/�j}/12✓2/2-aA„!ue j41).Sewage Permit Number Issued BuiI�tling Peilit /..,S":714_, Receipt 3.1.467o Issued
Remarks
Form 523 Bldg. Code