1977, 03-08 Permit App: L7360 Addition7
Comfy of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 a��
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 erecta 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 rater 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 N. 45433 and 47.235.
SETBACK 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 adcordance with stakes. Points of ingress and egress must be approved by the County Engineer.
ROVING OF BUILDINGS. A permit is required to move au 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.
n / ri^APPLICANT FILL IN BELOW THIS LINE , ; / - 99206
Name of Owner efwii.r..n AC'/ tgiefr Address - z2.0 .Phone 9-29-790/
Architect Address Phone
Engineerpp Address Phone
Contractor �A/liw(i-- Address pryogp
Legal Description of Property (Give complete description from deed, taw receipt etc I rt
Lor/ 131-/C / „i.�An.,f x ILLS-. PART
DESCRIPTION OF WORK: New Addition ¥ Remodel
Size of Lot 5l9 X /6;2
Stories / Dimensions/ 7 X 30
Rooms Baths _Mei lBasem Basement Foundation Const.( -M ZC'V.rL!F Chimney (Kind) Fireplace NA
L3.LK5 2/0 % 2/3
Moving Bldg. Zone _ / Fire4one -3-T�A
Sewage System A/ er const `a�t'f.0--
(Fr., Conc., Br.. etc.)Q0
Total Sq Ft. S / (1 valuation 2,SD0--
par .
Heat. System Type of Roo ing
oe of Bldg. Iy
���p (Number
Ext Finish l41 Int Well Finish A/A
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
99 (P// NORTH RESIDENTIA COMMERCIAL
No of Omits _Bedrooms
PRaPodeb
Appm1/
In/ AVE
SOUTH
(3) location of existing and
(6) location of sewage sys-
State License No.
(Y.LtYN Pi/ --
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Lip
Plans Mailed
I hereby ce ti y informationaaa���ll1bmit/{wed is correctrctand there are no other structures located on this property except
x'.
as shown. /'
3 -1? -77
Owner or Agent ' l Date
A LAND USE OR STRUCTURE 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 f.'( /2e20,F Y (241 -e. P The zone.518 .f//f
I/"MA-f. elm( grSewage Permit Number Issued _ Building Permit,/ 7361 o Receipt ;/ Issued
Remarks �'I
,PD.a pu_ n /1#
Form 523 Bldg. Code