1977, 10-25 Permit App: K3899 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
of
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.
RATER. 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 (9, , , 99'CZ/ 4'
Name of Owner 1 � _..�.. , Address 3.2 Phone 9-2' g890
Architect / Address Phone
Engineer Address Phone
Contractor a-a4-Yt Address Phone'/�
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number a 2 aT/- ,o a O
O r /1 l.31..,if / (_Jd a. -q- G1�rfP4 r sv
DESCRIPTION OF WORK: Neyr Addition Remodel
Size of Lot 90 X
Stories / Dimensions /6X 4 1, �7
- A Foundation Const i -�ifT
none
firAg f �/F-✓lifiCli Ext Finish —//
�/ ,fct�t-tac
Moving
Sewage System
f / z IC a G Total Sq
Rooms �_ Baths AA/A- IB pert
Heat. System t $/CIA Type of
Use of Bldg. 4 �X A.l d Ali
.lAhihtet "14-44-7,1d-, Y -
Bldg.,Zone �_ Firerj°''a
r %�-��4,rt��onst(1 Fr., Conc., Conc., Br.. etc.10O
Ft 'S%� Valuation .2oOD�—
Chimney/VA Fireplace N
(Kind) A (Num�qar
_ Int Wall Finish Al (�. rn4 J -,
No of Units Bedrooms
•
PLOT PLAN frL6
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property linea and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
H
S7/d A?LE
z
NORTH
1)1757/NiZ / 2 /
°
SOUTH
State License No.
Ind. Ina. Acct. No.
I.- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
To
Sewage Permit
-t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I he eby rtlfy informatipn sub fitted 1s correct and there are no other structures located on this property except
as shown. G/ U,f / /o-2.sT-77
or Agent Date
A LAND LESE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Iour street address will be
Sewage Permit Number
Remarks
(2,e4-1 The zone is (.(�iit.(.(`J/.etlii/-OX
Issued Building Permi Receipt 70 - Issued
P.lAx ura_ofC A0)
Form 523 Bldg. Code