1975, 08-21 Permit App L1282 Add to ResidenceCounty of Spokane, as ington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION LAND SE 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 onwater 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 r7.
l
F� Address1-f r1,7f 16-..G- Phone
Name of Owner ilz�v i� >< t�.l?„ir �_y K rc � l '
Architect Address Phone
.2(-
Engineer Address v Phone
�r 1 -. / h, il ,,,, i 1 _, Phone me d r,; -.
Contractor // v �r'i,YJ :.fd,%/ a:%r-ri-+� � Address ! '7 r'. Y / _
Legal Description of Property (Give complete description from deed, tax receipt et- 1 4 �'->''C/' 7`' /-IUD j
LD7-8 /?/ N
DESCRIPTION OF WORK: New Addition Y Remodel Moving
Size of Lot it /"..:::: 4 k/- :-5 d/ Sewage Syst
Stories _L._ Dimensions /E=k. -C- Total
Rooms L_ Baths Basement 7.-0).---C-Foundation Const /e 11i ` -
(Full, part, none) Heat. System ' -c t 4"I s'f Type of Roofing l /z / ' Ext Finish i_'--/ 11
Use of Bldg. /7.4, ./� tL aL,i,, /-1<. / ,Ar..,./.,,,
,- �, i
(� -„ '� •
PLOT PLAN
F�dg. Zone .� Fire_Zone
ern U./✓i/, n,L4. Const."-
' (Fr.. Conc., Br., etc.) ;
SR Ft -171 `2 Valuation
Chimney Fireplace
(Kind) Q (Number ///
Int Wali Finish /c/-1 ri'f/'Lk
1
No. of Units _Bedrooms
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.
NORTH
SOUTH �'.7-f1�.sJ✓
rn
State License No.
.L - I3c-Lf5" /
Ind. Ins. Acct. No.
i iir
,L'O i U/Lk 7
UIRED
Plumbing Permit
Heating Perrnit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
asshoa r 7:4,1
1
`'fii 1ci{, Y ;2-i-7,
Owner or Agent ] Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be `� W D I
Sewage Permit Number
Remarks
rcr
Issued
/7 —/
Building Fermi
The zone is l//!P)-`-r /1
Receipt ;)GD Issued
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L7
Form 523 Bldg. Code