1972, 03-17 Permit App: J2192 Addition1
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, 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.
WATER. Water supply must be approved by the County and State Health Departments. Where work ()neater 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 Noe. 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 car. not bring action to enforce covenants or dedications.
Name of Owner
Architect
Contractor a/yliL(-
APPLICANT FILL IN BELOW THIS LINE
ddress
Phone Engineer
Address
Legal Description of Property (ive complete description from deed,
- is
Lo% 2- N
/G
Phone W74-/-6 4241
Phone
Phone
tax re ipt etc.)) .rte
/ mg,
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r.
DESCRIPTION OF WORK: r4�//ERw�� �� —�- �-Addnition Remodel Moving Bldg./Zone Fire Zone
Size of L � %( /� .L( Sewage System Al O./.11.4^�- Stories i 0 0
Const.... it-iVvn P Dimensions Q.A.).�/� Total Sq. Ft. �.J ..S( Valuation SSOO —
(Frame, concrete,/'brick, etc.) _' ,, ' lam;
Rooms_L Baths — Basement --` Foundation Const Cp Chimney '� Fireplace
• (Full, part, none) p . f (Kind) /� (Number)
Heat. System i= -'1.4t
-' a. • -4 -/ ype of Roof Sx/ �filiact1/tl' .l Ext. Finish p Int• Wall Finish �i''r/�vf um
AA
Use of Bldg. A /�. I.UN�.I/ii - �E IO/ / ^ 5 MtAJ - � No. of Units Bedrooms L_
Garage or Carport Attac ed ! 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
State License No.
OK
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
MSewage Permit
.4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Imo'
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as show
—)1 7 o
Owner or Agent ll
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
. P
DO NOT WRITE BELOW THIS LINE
Your street address will be /5Z53 1-9 • "YI .R4•
Sewage Permit Number Issued Building Permit
Remarks
114.421"t tt il('r i° 16°1"`1---
e zone is
Receipt y9•S7 Issued
orm 523 Bldg. Code