1976, 11-17 Permit App L6265 Additiont. Afy of Spokane, Wae. Eton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99
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
kind or alter any building or structure already erected, or to change a land use. Construction must
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 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 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
structure of any
conform with the
Name of Owner -4 4 ( Address Phone —6-,57 0
Architect Address Phone
Engineer Address Phone
Contractor S0V,„,2..(2—r Address Phone
of Property (Give complete description ffom deed, tax repeipt, etc.)a3C .e /81'S`.4,/ —/��
Legal Descripti
DESCRIPTION OF WORK: New Addition
Size of Lot ! V 1( :�//l/'
Stories Dimensions aZ / 04- /O `
Rooms __� Bathsr (w _ Basement Foundation Const
Heat. System ull,
•t nn ne —
pe bf Roofing
Remodel
Use of Bldg.
Moving Bldg.ldcZone / Fire Zone
Sewage System g,)( %S J»Ji �y+onst.
(Fr., Conc., Br., etc.)
Total Sq. Ft 9"-6dValuation" C�
Chimney Fire ace
(Kind) � (Number
Int. Wall Finis
os� ��Qn�it�ix.f No. of Units _ Bedrooms
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
SOUTH
I hereby ce tify informati's ubmitt t1 correct and there are no other structures• locate, on this property except
as shown.
RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
{/1
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
er or Agent Date
A LAND USE + STRUCTURE PERMIT I ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / ,7 Y qt e.
Sewage Permit Number Issued BuildinPermit_,
Remarks
The zone is
Receipt �is�l� Issued
(
(` LQ� . L
Form 523 Bldg. Code