1975, 08-21 Permit App: L1260 Addition 111/
County of Spokane, Washington f BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 id
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.
e
rk on
ter
the surface, shoulderly s ort be ditchesved by the of County Roads, permissionand State ealth must bepartments.obtained froomrtheoCountyaEngineer'stOfnfsiCeisturbs
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 „...404C-4,--k4.--464_-99- 6
i o G -, LT - -;, f„., Phone 9-25'- }rc/> 7
Name of Owner ' ' ” '- 1-'m C"C �' Address
Architect / Address Phone
Engineer Address Phone
Contractor - i1 7.2 V[ 2- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) //2-'1-C-Q V, ..'"..)/-k,--.7,--'_,A/ -/2 61
A U T J, T,T L/ i�f.Js-r1- ��A,L) L /.)().4--k_ (.� L
DESCRIPTION OF WORK: New Addition X Remodel Moving Bldg. Zone / Fire2one !...
Size of Lot ,.-5-C) X/�-3O Sewage System,G7`/'"t%rc A•4 onst.' ;-['; ✓-"
/ (Fr., Con.WBr., etc.)0 u
Stories /• Dimensions /,. X ,. Z) Tota•Sq. Ft. `f Valuatio /c1
Rooms T Baths Basement Foundation Const.�t�u C i-Z-' IT1'AAt-, Chimney Fir place
Full, part, nonce- D (Kind) L /(Number
Heat. System i. ,L. •'c.1 Type of Roo,$ing G Ext.
��F nish k. Int. Wall Finish , '-� i r -y-r
Use of Bldg. .! I t"C. - t • 1 -'K- I�w'2'1iA 1- 7C- No. of Units T Bedrooms
in
le;?.<•,iel 4-ea..
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.
NOR.iB RESIDENTIAL-COMMERCIAL State License No.
\ /
I / Ind. Ins. Acct. No.
I .
lii)
v
REQUIRED* \
� ti (n i
i 2,p_ - _/O___ Plumbing Permit
\ � ?it In Heating Permit
enDo
w (' Sewage Permit
- \ Z fu
14 y
Plans Received
/ \
�fa� Plans Checked
6 Plans Returned
/
4 I Plans Picked Up
/ \ Plans Mailed
J
SOUTH
I hereby certify inn Urination submi ed is co bet and there are no other structures located on this property except
as shown.r• ^L -1----' • rt-e. l it - 5r' — --/-7 5-
Owner or Agent 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 II��,���,� / � ��jj
Your street address will be 7/p ! P1 �;[��L,LtK _ The zone is(q_""..'_`,C, t,41-.4. 40
Sewage Permit Number Issued Building Permit d,� )4 ) Receipt Issued
Remarks