1975, 05-19 Permit App: L0692 Addition1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,
GENERAL REQUIREMENTS PERMIT FEE
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.
NATER. 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 1s 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.
APPLI ANT FILL IN BELOW THIS LINE
Name of Owner~
Architect Address
Address e
Address
Engineer
Contractor
Legal i escr
f Pro
iL�i1/fT C�
(Give complete description from deed, tax receipt, etc )
Phone 7 Y -$<T'J
Phone
Phone
Phone
—J-
ir
/\-)-04t"' _ZCJ��
.0—e --
DESCRIPTION OF WORK: New Addition % ^ Remodel Moving Bldg. Zone / Fire Zone
Size of Lot /'57/, / X ,3/ i' ' / Sewage System
Stories _,_Dimensions ��• $�
n Const ����-ri5-1 Chimney
Total Sq. Ft
Rooms Baths n Basement �Foundatio
., ���� (Fu(I, art, non'e�7
Heat. System„e.-Type ofjioofing
Use of Bldg.
Ext. Finish /1�-�t22d
PLOT PLW mac�/� •
raw sketch with dimensions showing: (1)
posed buildings; (4) distance to property
tem and water supply lines.
m
to
as
NORTH
(onst
Fr., , Br., etc.) 0, -,Val i
�/ Fireplace
(Kind) (Number
Int. Wall Finish �C!/Q
No. of Units Bedrooms
property lines; (2) street or road locations; (3) locatiort"of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIA — COMMERC
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
by certify information submitted is c e—and there are no other structures located on his roperty except
ner or Agent Date
D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit N;her A
Remarks I, 111D
�¢ igil
-_
The zone is
Receipt
Form 523 Bldg. Code