1979, 02-23 Permit App N2075 AdditionCow. of Spokane. Washireon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
'NM
GENERAL REQUIREMENTS
PERMIT FEE 4f3
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 building (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 .s-eeKANE
Name of Owner P MNCLS M UAW Address E f 1 SO i MANSfIELB
Architect Address_
Engineer_ Address
Contractor FRAmc,IS M URkAy Address • Eone cl ill zq -f
O
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Q `.'SSLLA —0507
ti{j-12 OF Bi.AGk ify it 1. PINP.c.Ra1=T is r,
ggz.o6
Size of Lot _
Addition
Remodel Moving
Stories_ Dimensions 7 2 )4 c3 -1- i 2 A 6
_.._
Rooms I BathsVk Basement S[ F. Foundation Const Gohc-
irgE-
(Full, part. none
Heat. System f%)(IS-riv7 Type of Roofing GcMpt�SrTjai Ext. Finish 1 .r )li
Use of Bldg. ADD MIN OF- A I•CrTCb4E14 -TO `T-NE. eX%S-T/H/6,_lasip
,_,,,D \ R/ W WIDTH
Bldg. Zone / Fire Zone'A3
Sewage Sys temx6TSErrIC Const,
E' Afv, etc.)
1
Total Sq. Ft. Valuation ecoogik
Chimney_(KiA_ Fireplace_ ._
nd) (Number
Int. Wall Finish Pry 1,,4)ALL
EN No. of Units Bedrooms IVA,
Bay 1(f1�1L�Li%
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 ar.d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
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SOUTH
mati ubmitted is correct
en
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and there are no other
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
State License No.
Ind. Ins. Acct. No.
- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked dk JJM --I ToM.
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
r E S , 23, /9'77
? S
1_�01.___ .D rip A °`0Pat zone is AG,R1ct1tzn.4 .
Sewage Permit Number Issued Building Permit ' Receipt-73 Issued
Remarks
Phone .12 y 0 ! 6(
Phone
Phone
Your street address will be