1975, 09-05 Permit App L1435 AdditionAPPROVED As NOTED _ 0
Spokane my gl -t EM)
of Spokane, Washington
r
f)!3 DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 Q
FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .-
PERMIT REgUIRED. Aland use or structure permit is required by County Resolution to erect a building or strut urs of
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.
MATER. Water supply must be approved by the County and State Health Departments. Where work onwater connections disturbs
the surface, shoulders or ditches of County Roads, permission most be obtained :rom the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
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 most 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
Name of Owner _ DW/ /V 2 . WTZ S O sem/ Aww-_-- Phone 792
Architect Address Phone
Engineer Address Phone
Contractor �� Address
Phone
Legal Description o'f/Pr party (Give complete descr' ion from deed, tax receip/4 [c 1 X 'i /
DESCRIPTION OF WORK: New � Addition Remodel Moving Bldg. Zone Fire Zone O
Size of Lot 9'6 Sewage Systemonst.
Pr., Conc., r., etc.)
Stories —Dimensions Z41y a 2 Total Sq. Ft. a�_Valuation fir%
Rooms -I— BathsBasement n Foundation Const.. ,�a�o Ch' nay Fireplace
/39 Full, part, none' (Kind)
( Number
Heat. System Type of Roofin Ext, Finish Int. Wall Finish �i1s�
Use
:aw
Bldg. c No. of Units_ Bedrooms
PLOT PLAN �O`f°
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 o� f no
tem (6) location of sewage sys-
tem and water supply lines. � `i////✓-/
N CID TW 1 Stare License No.
as
SOUTH
Ind. Ins. Acct. No,
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her cHtify infor,%Vticpjsubmityefi is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0 DO NOT WRITES BELOW THIS LINE
Your street address will be �C 1/�f � ,7{/„he zone is
Sewage Permit Number Issued `/ Building Permit Receipt Issued
Form 523 Bldg. Code