1975, 10-0 Permit App L1685 Addition•
GENERAL
Canty of Spokane, Wasfigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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
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 .�f Cep % '7.--"%4 G` "s Address 9/ 7 el., /c Uf ,f=i c- Phone ,t 1 A `�-"�O s
Architect Address (-y4-!d�—~' Phone
Engineer Address Phone
Contractor Ste, Address
Phone
Legal Description,pf Property (Give complete description from deed, tax receipt, etc.
�353✓- /i//
DESCRIPTION OF WORK: New Addition i- - Remodel
Size of Lot 3: ' X 2& '-5U'
Heat. System
with the land
Moving Bldg. Zone / Fire Zone
Sewage System Const. tri-'
Stories Dimensions 3' %� /� x _ (Fr., Conc., Br., etc.)
� Total Sq. Ft /3'' Valuation -✓. 7 % 7' ✓ J
Rooms / Baths it Basement Foundation Const , Chimney Fireplace
(Fu(I, part, none) -- -. (Kind) (Number
Int. Wall
Use of Bldg. (,)'..
Type of Roofing ®--.- ��
r Ext. Finish
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.
No. of Units _ Bedrooms
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
I hereby certify informatsubmitted is correct and there are
as shown.— } ,
f Gt 4c.ts.-1
Owner/or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
no other
DO NOT WRITE BELOW THIS LINE
Your street address will be r //
%'� 0 C - e zone is
Sewage Permit Number Issued Building Permit S Receipt
Issued
Remarks
Form S71 R I.d., r,..l-