1975, 09-15 Permit App: L1519 RemodelAty of Spokane, Waslogfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land we or structure permit is required by County Resolution to erect a building or structure of arty
kind or alter any building or structure already erected, or to change a land use. Construction mut conform with the
Spokane County Building Code and Zoning Ordinance. Construction I. subject to inspection.
WATER. Rater supply mut be approved by the County and State Health Departments. Where workonwater connections disturb.
the surface, shoulders or ditches of County Roads, permission mut be obtained :roe the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nu. 45-133 snd 47235.
SET -RACE .ROA PROPERTY LINES. In most zones and under most circumstances, a set -beck from the front property line, of at
lest 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 mut be obtained pertaining to amt -back and Ingress
and egress.
COUNTY ROADS. Work on street right-of-way nay not be performed mtfl staked by Comfy Road Department and work mut he
performed in accordance with stakes. Points of ingress and egress meet 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 sunspots rowing with the land
which are enforceable through civil action. County Officials can not bring action to enforce covermat. or dedications.
APPLICANT FILL IN BELOW THIS LINE �./(�.
Name of Owner Address Phone
Architect Address Phone
Engineer I Address -Phome
Comment Address
Ph e
Legal Description of Property (Oive complete deanriPtim from deed, tex rso.
ipt, etc.) .i 2.T 3-06D
DESCRIPTION OF WORN: New _ Addition Renndel X Moving BI 2me Z Fir e
Size of Lot �'�'4X/TL, Sewage System Cmst��
Br., etc.�D
Stories -4_Dimmeims 2 -Z X 2 2 f T Totof Sq. Ft. Volution
Roans , Botha Baseman[ m
Fadetion Const. Chimney F' epl
1aos
Fu , pert, mune (Nindl I mb
Hees System TY f Rootillpr,EBt Finish (�A Int. Wel
gl Finish
Use of Bldg. 'q'(g��jo d/f// Z' _Xuk(/' 6. S�4ed No. of Units _ Bedrooms /
t�
7l"1�Y1 PLOT PLA
Draw sketch with dimension showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lives and streets; (5) dimensions of buildings; (g) location of sewage sys-
tem and water supply lines.
n ' ! State License No.
A .i
SOUTH
1MERCIAL
Sad. Ins. Acct. No.
REQUIRED
Plumbing Perm
an Floating Permit
NSewage Permit
H
Plays Received
Plans Checked .
Plans Returned
Plans Picked UI
Plane Mailed _
I hereby crfrtify nfor®tim ubm ttpd fs correct and there are no other structures located on this property except
as shown. �� ( /r
Owner me 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
Tom street address sill bey /A /Oxt,The awe
Sewage Perait Na,{ber ped Bp11d1tiW Pon Receipti
Form 523 Blda. Cede
REQUIRED
Plumbing Perm
an Floating Permit
NSewage Permit
H
Plays Received
Plans Checked .
Plans Returned
Plans Picked UI
Plane Mailed _
I hereby crfrtify nfor®tim ubm ttpd fs correct and there are no other structures located on this property except
as shown. �� ( /r
Owner me 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
Tom street address sill bey /A /Oxt,The awe
Sewage Perait Na,{ber ped Bp11d1tiW Pon Receipti
Form 523 Blda. Cede