1977, 09-09 Permit App M3203 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
v
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -# z
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 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 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
I reby. certify infor
as sh n.
Owner or Agent
I � -99206.
Name of Owner /./.�,!✓ .�i _/,(��„f r , Address (� 70// % {!,t (Z ! Phone 9 �f "1 "-5�
Architect Address Phone
Engineer Address Phone
Contractor Ji r.--vC( . (1"M�✓- i. Address //; ^f‹, C47 A4.-", Adit7 942Gi. Phone G-2-7 2/0
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number -.4 3 /—/6,e'2-
oT L/1 7-7 ,C3h-K I —7/1i i /�
DESCRIPTION OF WORK: New _ Addition X
Size of Lot "7KSX /
Stories LDimensions % Q X /G,i
Rooms _L__ Baths /' Basement 4) At
�+ (Fu(I, part, none)
Heat. System( 4.( (, %/✓ Type of Roofing7r-i/ Ext. Finish
Use of Bldg. / 11 _/r, ,(( d/ iq /As /f /J ck1J4r
Moving
Sewage
Bldg. Zone —• Fir ne .�
System/.G Const.������
(Fr., Conc., Br., etc.) op
Total Sq. Ft /(l Valuation G
Chimney NA- Fireplace N A
(Kind) t (NumL er
Int. Wall Finish 1 1 )-f- , GK
No. of Units .Bedrooms
Remode I
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N-O-Ft T fi
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
F/RS? Avg
7.:5-
i
SOUTH
o.-/' d is _correc
/
m
State License No.
Ind. Ins. Acct. No.
(RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ancrihere are no other structures located on this property except
—r-7-7
Date
A LAND USE OR STRUCTURE PERMIT MUSTN THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be r:4-1 -7Q/I / (Z-1}.P
Sewage Permit Number Issued Building Permi
Remarks
The zone is 7//tiLili�-Cti��r/
Receipt P 7,24/ Issued
Form 523 Bldg. Code