1976, 06-15 Permit App: L4324 Addition Canty of Spokane, Wash..dgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT t 7
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 slit face, 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 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 42,4_444a_ y9=1.46
Name of Owner F
_ " . ".:t Address qQ ' /' Phone V^t'1�'/( 37
Architect Address Phone
Engineer / (f _Address Phone
ContractoK, f�(J <c-(L! „��_'. Address i� 3 el L4,114,-/� f .(.1� ''9 ? 3
one �t i s;
Legal Description of Property (Gine complete description from deed, tax receipt, etc.) ,E4-1--cif Q;19 5' - x-74
.6 a /I !3J 'C - - fr1+.4..L4. 4-(-Lt-[ !1�(`
DESCRIPTION OF WORK: New Addition X Remodel Moving Bldg. Zone / Fire e-3
Size of Lot 76 k i'5-6 Sewage System N Const. a��K
(Fr., Conc., Br., etc.) d 0
Stories F Dimensions `2 -41X-2-50' -+- .'S-x 1 1- II / Total Sq. Ft. r 3 3 Valuation 13
Rooms Baths Basement !1/ -4 Foundation Const.. Chimney A/A- Fireplace A
(Full, part, none) (Kind) (Nu er i(?
Heat. Syste F // 4/ Type of Roofing `' Ext. Finish / Int. Wall Finish �-f-"-' '�- '��'�
Use of Bldg. ;( T�: t7t24.( " !1 L�/t1 c[�-TI� `- _ No. of Units_Bedrooms
PLOT PLAN''"1-'Ce-
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.
NORTHRESIDENTIAL:COMMERCIAL State License No.
II Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit i m HeatingPermit
KO
Sewage Permit
Plans Received
ti Plans Checked
;11;
Plans
Plans Returned
Plans Picked Up
1 4 5 Plans Mailed
SOUTH
I hereby ce information submitted is correct nd there are no other structures located on this property except
as shows
Owner or Agent J 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 _3 eldt., W� The zone is A:. ' . __
Sewage Permit Number Issued Building Permit q'3,;LL/ Receipt /063-:- Issued
Remarks
Form 523 Bldg. Code