1978, 12-18 Permit App: N1699 Addition 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 an./
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.
PPLICANT FILL IN BELOW THI LINEE .c��Name of Owner0)-(1-4/1# / Address / i /-, Z Phone wee �CV
Architect Address Phone
Engineer - Address - .2 Phone
Contract J Address /• Phon
Legal Des ription of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 0_ L�-/.....e.7
Z --Z-/-e2-6.643 401:1227. ��
/
DESCRIPTION OF WORK: ew r clition v Remodel Moving Bld . one Fire ne
Size of Lot 2( 15-/ Sewage Syst m FgisCon te—
Stories / Dimensions , ' 1 5 / . I Sq. Ft. Valuations fc 7i'=et?
Rooms / Bath i-//! Basement Foundation Const. .�//. i AO Chimney Fireplace -9607r,F I art, none y - md) (Number/Y
Heat. System s, Type of R.,fin;.' / Ext. Fi .sh ./. ._ ,_,/. Int. Wall Finish
Use of Bldg. .`. 12Ariori .21 '.4.;'.� /��- _ _"_, _ --4.7 No. of Units Bedrooms
/
a) / PLOT -LAN
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 S Li ens No.
l7
` Ind. Ins. Acct vFt0.
RESIDENTIAL-COMMERCIAL
REQUIRED
d Plumbing Permit
`_____,
on Heating Permit
v in NI/ o ` \z-- I O .�/ ------Ar -� In Sewage Permit
_o
S.
\ \ +
Plans Received
U Plans Checked
Plans Returned
\ Plans Picked Up
too Plans Mailed
U
SOUTH
I here ' cert inf rmat on submitted is correct and there are no other structures located on this property except
ass n. 1 }\
/_2 -18'-- 76)�`j Ow er or Agent Date
A LAND USE OR S UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
/� . /
fir - 2 i
Your street address will be _The zone 1= �i. �%moi %!
Sewage Permit Number Issued Building Permit i k;' Receipt/J 0-Z Issued
Remarks
Form 523 Bldg. Code