1975, 11-03 Permit App L1976 AdditionI,
Colty of Spokane, Wash'19ton
BUILDING CODES DEPARTMENT, N. 811
JEFFERSON,
SPOKANE, WASHINGTON 99201
li
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.
WATER. Water supply must be approved by the County and State Health Departments. Where work on crater 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 -RACK 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 -df s or dedications.
APPLICANT FILL IN BELOW THIS LINE V 49z�(o
Name of Owner'
Address S-26 Phone
Architect Address Phone
Engineer Address Phone
Contractor /l.vLf 0 Address
Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) SS - e --54 7
DESCRIPTION OF WORK: New Addition _ice_ Remodel
Size of Lot 7 ffX //5 _
i
Stories Dimensions SX /
Rooms /--Baths Basement Foundation Const..
Full, part, none
Heat. System T pe of Roofing E
Use of Bldg. _ -
Moving Bldg. Zone Fire,;one
- Sewage System onst.
�Fr., Conc., Br., etrela
Total Sq. Ft. 6 Valuation 3,0 0
i.r Chimney `— Fireplace s
(Kind) (Number
Int. Wall Finish
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.
-4
NORTH RESIDENTIAL - COMMERCIAL
C-OGRr2.,4Mn Ay.5 SOUTH
D
N
y
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I h by cer�t�jfy informatio submitted is correct and there are no other structures located on this property except
as shown 4v - , . / l r
Owner or Agent I Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be The zone is Ze
Sewage PermitNumberued Building Permit Receipt in -Z 7 � issued
Remarks () Ef A
Form 523 Bldg. Code
N
a ; h1
m3
Q O
>A
h
r
C-OGRr2.,4Mn Ay.5 SOUTH
D
N
y
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I h by cer�t�jfy informatio submitted is correct and there are no other structures located on this property except
as shown 4v - , . / l r
Owner or Agent I Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be The zone is Ze
Sewage PermitNumberued Building Permit Receipt in -Z 7 � issued
Remarks () Ef A
Form 523 Bldg. Code