1976, 05-18 Permit App: L3887 renewal I530 Additionarty of Spokane, Was*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992
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 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 47235.
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 Irom 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 dedication 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
ddress 15-33 Phonefir9-Ss= '
Name of Owner
Architect 1' - Address - i - Phone
Engineer es� ,�11� Address Phone
Contractor /,r/t/,y f'l�"���'C------ Address ,/J � Phone c�
Lege e criPd on Vf Pr rtx ��/mpl e[� description om dead, tax race' pt„etc.J/�w� A -2 as -J...1 ,?7/ a
DESCRIPTION OF WORK: New Addition iC
Size of Lot 5-0
Storiesr Dimensions/ 3 41-2-o %•
RR ma 9 Baths Fu I• paBasert, mentno
dpi n
Remodel
Moving
Sewage System
eat. System •e of Roofi
Use of Bldg.
Total Sq
oundation Const - Chimney Fir lace
(Kind) (Numb')
Int Wall Finish
No of Units _Be ooms
Bldg. Zone
Fire Zo e
Wrist
1 Fr..
Val ation
ng Ext. Fini
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing an
proposed buildings; (4) distance to property lines and stree dimensions of buildings; (6) location of sewage sys
o and water supply lines.
t
PLOT PLAN
l
NORTH
COMMERCIAL
SOUTH
State License ya.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c fy information submi t/adf is c r tt And there are no other structures located on this property
ex ept
nn shown. h_ ` _V /U\ .jam- `� ✓ /� _
WY �}p
Owner Agent Date
A LAND USE OR STRU URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issues Building Permit 1t7 Receipt 0-5031 Issued
Remarks
The zone 1s
Form 323 Bldg. Code