1971, 09-21 Permit Apop: J0761 AdditionCounty of Spokane, Wash!ngton
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITR)
GENERAL REQUIREMENTS PERMIT PEE"
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 111 BELOW THIS LINE '7, i e 6
Name of owner L u _ ddress `/2 Z� E?�'2 �� one/A— 2:/-/
Architect Phone Engineer E Phone
Address Phone
Contractor
LegalDescription of Property (Give complete description from deed, tax receipt, etc.)
,/// }, / 6 s
DESCRIPTION OF WORK: New Addition A Remodel
Size of Lot -,Gy I /� 4/ 3 G.)'
Const.Dimensions / k"�"3 CD
(Frame, concrete, brick, etc.)
Moving// / Fire Zone
Sewage System 2
- Stories C J �`
Total Sq. Ft. 7 �� �" Valuation,,
Rooms__ Baths Basement --r'oundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System - Type of Roofing .2,--:---,, ' Ext Finish e
.--' Int. Wall Finish
Bedr oms 4 ..3_____.
- n C
Use of Bldg. -7
Garage or Carport Attached
pZ/'L No. of Units
Private Detatched
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 water supply lines.
NORTH
U T H
(Pn
V
/3c'.Ocs—
State Li se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
Plans Received
Plans Checked
O
Plans Returned
Plans Picked Up
Plans Mailed
as shown. \/
c
I hereby 7t' y or do ubmit ed is correct and there are no other structures located on this property except
Xx C2 —(77'7/ / 7 l
ner or Agent Date/
A LAND USE 0 TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will bei// J 2_ / G c? e zone is %'
Sewage Permit Number Issued Buj1cll g Permit / Receipt 707 Issued
Remarks �/
Form 523 Bldg. Code