1971, 02-24 Permit App: I3551 Additionio .1 1 40
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9940 %
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /J ,J
GENERAL REQUIREMENTS PERMIT FEE .........
PERMIT REQUIRED. A land we or structure permit is required by County Resolution to erect a building or structure of many
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 an water connections disturbs
the surface, shoulders or ditches of County Reads, permission must be obtained from the County Rbglneer's Office.
SEWAGE SYSTEM. Permits are required in .11 cases by County Resolutions Now. 45-133 and 47235.
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 will staked by County Read 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 e Z
f
Name of Owner ddress U O Phone -
Architect) Phone Engineer Phone
Contractor f v�yi Atltlress __ � Phone _
Legal hes9ri0 0 of Property (Give complete QWscrfiat ion from deed, tam receipt, etc.7
I
DESCRIPTION OF WORK: New Addition Remodel Dloving Bldg. Zone / Fire Zone
Size of Lot' Sewage System Stories
Constsmamw -1 �/ ,x I Total Sq. Ft ��valuation
(Frame, concrete, brick, etc.)/7 D U v
Rooms,,._ Baths / nst lBasement Foundation Co_ 1�s t"^'a�'�+' Chimney Firepla�e
L� (Full, paeq none) (Kind) (Number)
He9t S Type of R offing Ext Finish Int. Wall Finish
Use of Bldg. ;� R n O -d �m-." No. of Units Bedrooms
enrage or C ,ort At¢whed P—n" Uvtalched
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.
NORTH (r l 00 state Li—r— Na.
2 b
7J ; •-rp Ina. Ins. Acct. No.
r� %D
yy�u
REQUIRED
F 3 ��y ✓ �
y. i[yo Plumbing Permit
Heating
Permit
Shwa
T � a
N Sewage Permit
S
3
SOUTH
Plans Received
Plans Checked .
Plans Returned
Plans Picked Ul
Plans Mailed —
certyfyfbr&4iaa� bmitted is correct and there are no other structures
/ T
this property except ■
YOwper or Agent Data r
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES,
THIS IS NOTA PERMIT.
Your street address will be W /C
Bemage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS
�j LINE
, Rha zone Is
Buyl9 mg Permit a%' Receipt