1975, 05-12 Permit App: L0031 Addition County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
66
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 11: /3'
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of spy
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 LINE F�c.,G,
Name of Owner . r A.! =!.` A- �'-.- _a'Address 400i ..-�' . !' Phone. Zla3
Architect Address Phone
Engineer '� > Address Phone
Contractor --1C9� Q//. Address Phone
Legal Description of Property Give complete description from deed, tax receipt, etc.)
---- ----.---, e.L---7 ... 1..---,--_-_,--,:.4-2>:-,---/...4' a �,-. 5,. .." —y%a.
Pcj , /',S ' (DV- .3 r) ' . �.. e -Jr �. _ -
DESCRIPTION O' 'ORK: New Additi. 4 Remodel Moving Bldg. Zone _,.„4,--.' Fire Zone_
2_ 9 ' O / •- - - Sewage System..�1 onst. c�arc P
Size of Lot �/ X g y (Fr., ., r., etc.) ,vu_
Stories-_Dimensions -,.74 e A, o Total Sq. Ft. Valuatio
Rooms --4 Baths Basement Foundation Const. il--C--rr-1 --LP' -e77..,Chimney Fireplace
" /� (Full part, none) (Kind) (Number
Heat. System OLK_-e i.___Type of Roofing — Ext. Finish �,+ Int. Wall Finish i3 r�i«
Use of Bldg. /1 _-- �... — 7'-/C--� /l t'/ No. of Units edrooms
2 l /
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets• 5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH < RESIDENTIAL-COMMERCIAL =tate! License No.
,+ I a/o- & A ��C,�_
nd. Ins. Acct. No.
/ ,�� e74---.)--. _ ____d______...-'
REQUIR-
1
4mPlumbing Permit
n+ Heating Permit
P fe
ili:x;71
rn ul Sewage Permit
Plans Received
o
- / - % Plans Checked
IPlans Returned
Plans Picked Up
Plans Mailed
SOUTH
i
I h•yeby certify information;submitted is correct and there are no other structures located on th'. prop- ty except
assow 2-
Owner or Agent Date
. N�U E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S IS NOT A PERMIT.
//
DO NOT WRITE
�BELOW TH_IS LINE //
Your street address will beV 11- / 7� e zone is ��-f..f -n �-
Sewage Permit Number Is uedBuilding Permit DO3( Receipt Issued
Remark„ - 4:-7
:- 2; }' - -C. e
---\-L-
Fnern 521 RIdn- Cnr4r.