1976, 02-17 Permit Application: L2649 Residence w/Attached GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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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.
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APPLICANT FILL IN BELOW THIS LINE (�
Name of Owner _ I O M A ' 1(1H1$ Address 60X 1-O (0 0 491141 Phone !� 14 -1-7n1
Architect Address Phone
Engineer M Address p Phone 17 0
Contractor T ()M k1Y1$ Address LO X 14060 ?9^ ecof Phone C124
Legal Description of Property (Give complete description from deed( �tax receipt, etc )
'
-rke. N or -t% tc o +rac1C. S3 Of
exeep+ 4 e eas# 3cIS.S
DESCRIPTION OF WORK: New Addition
Size of Lot 1 Oo X .QS7 E 3 F
Remodel
,
Stories ' Dimensions eQ141 X 7C-1
Rooms Baths Basement Eo 1)
(Full, part, none
Heat. System PA Etep8- Type of Roofing
Use of Bldg. G iytQte -QM►ky
Fo
undation
Const
es
Vetra�
Moving O Bldg. Zone .A___ Fire Zone 3
Sewage System See41C-• Const. Fr.
(Fr., Conc., Br., etc.)
1 Total Sq Ft ig3( Valuation 40 006
Cone rr✓i- Chimney Fireplace e °�
_ (Kind) ! .l (N_ umber
Int. Wall Finish Watt boa
No. of Units _ Bedrooms
Ext. Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
P
3
70
PLOY 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-
NORTH o?6-7.3
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5iJ
3S
0
SOUTH
ca.5/.3:
State License No.
1 TO-MA -TC -ash C
Ind. Ins. Acct. No.
REQUIRED
a. Sec,
Plumbing Permit
Heating Permit A4 In t
Sewage Permit C�
lac ` I+ler
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
0-,LL) -1/1/6_,4441
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
located on this property except
d -/7_ 76
Date
CONSTRUCTION COMMENCES.
The zone i
Building Permit r Receiptci7q 7
Issued
Form 523 Bldg. Code