1976, 09-21 Permit Application: L5499 Living & Rec. Room Addition4
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County of Spokane, Washin °PROVED AS NOTED
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Co.nt�yy Bld_. Code Dept.
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, �lAggi G 1 :04e0.-' '--4;1% ;ging
APPLICATION FOR LAND USE OR STRUCT
GENERAL REQUIREMENTS
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 BE OW T. IS LINE
Name of Owner i !(1 rc5 -tee. I— if Iia Address
Architect Address
Engineer Address
Contractor S /1141 _-
Legal Descri of Property (Give complete description from deed, tax receipt, etc 1
006 () — h a 11D S I< I v>!
di iV '7 s ' -I- 4 / I x c Liu f q 7t 7 ' cH
Q
Address
Phone
Phone
Phone
Phone
3-
L4.J 1 •6
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DESCRIPTION OF WORK: New Addition Remodel
Size of Lot I %2 )4. a 7CJ X. S-1 2. 9-7 "`
Moving Bldg. Zone / Fire e 2
Sewage System 4-XI Cr const vf' .e--
(Fr., Conc. „ etc.1�
Total Sq. Ft 30 Valuation
Foundation Const ^0�'1c°� rail
Chimney Fireplace
(Kind) (Nu r
Ext. Finish /Or Slid/Ay Int. Wall Finish Sine el koc l<
vim,
Stories Dimensions x/2„,
Rooms Baths Q Basement 1r
• Full, part, none
Heat. System. ,- Type of Roofing
Use of Bldg. / V/hj roOtkm `4--
e. A
j PC,
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
QM
NORTH
No. of Units L Bedrooms d
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-
RESIDENTIAL — COMMERCIAL
41 I
I her.,;Z certipy information submitted correct and there
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
fA
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on /this property except
q/ �-/'/ 7�
DO NOT WRITE BELOW THIS LINE
Your street address will be 47-41Cra* Mri l 5 V-t) The zon
Sewage Permit Number Issued Building Permit A54(-71L1 Receipt# 4ssued
Remarks
I
CONTACT t cDc
DATE
COMMENTS
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