1975, 09-12 Permit App L1492 Residence, Garage, DeckLe I Description of Property (Give coo!pypplete description from deed, tax receipt, etc) i_
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Cdinty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 mast 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 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
Name of Owner Pigs. S'4- -2(-- 7-0 A( Address .0 6 7/ 2- W4,3- 3 Az ' Phone - Z- 7_ 7-9Q-K
Architect Address Phone
Engineer Address Phone
Contractor Address Phone 11
-9 — /.00 r7
3 P-S
DESCRIPTION OF WORK: New Addition
Size of Lot atr2-c9-ie
G
Stories / Dimension .5-9 x 3 -' - 4i
Rooms g- Baths.:7 Basement FU / / Foundation Const
(Full, part, none)
Heat. System
Use of Bldg.
Remodel
CZ7 n
CA
_Type of Roofing Iry h ct l�P• Ext. Fi ish
�� coar (jerra--RJR .� .L�Pc /1
Moving
Bldg. Zone / Fire Zone 3
Sewage System S / O onst. /r cc c
(Fr., Conc.,�jBr., etc.)
Total Sq Ft '�� Valuation 1'� `5 U• Go [i
Chimney B� r ��K Fireplace
(Kind) �/ (Number
r n r� runt. Wall Finish jam` / y/a-7/
No. of Units _ Bedrooms
3
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 a.d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
I hereby certify informs ion submitted is correct
as shown. < j
Owner or Agent
RESIDENTIAL - COMMERCIAL
and there
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structure located on this property except
/17
ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
0-17/ r4
The zone is
Building Permit 7 ;,-,,„Receipt !3P Issued
Y
Form 523 Bldg. Code