1977, 03-14 Permit App: L7433 ResidenceCininty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE 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 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
Name of Owner C/ /1/f/5'%%'t^�c c -Cit Address a.2- `r -OE ��i.F( S Pm- Phone / 2 `9 Jj
&
Architect Address / Phone
Engineer Address Phone
Contractor ..2--7A,/ [..2/,ollS✓ 7tl-� L-LS''� Address f%� Phone S'-orrt/V‘2
Legal Description of Property (Give completed criptio� from deed, tax receipt etc
7S/ 5Ave:A iq ,4' 7-oif / ,ti2o,r-is' T-
pf-Dr— /ez-41Jo337
DESCRIPTION OF WORK: New //0/7 Addition Remodel Moving CBld�'g. Zone / Fire Zone
Size of Lot 75 , % 2C Sewage System .f" riZ G onstkr"f t
/`• 3‘7,2-g..-- /01S /2 ter_- (Fr., Conc., Br., etc.l
Stories ( Dimensions / otal Sq t A '�' Valuation / efl5L)
Rooms 5—Baths / Basement _ 1, Foundation Const. Cava/- , Chimney,hc4 Fireplace( '�
(Full, part, novel /I(Kind) f�, Number
Heat. System 62 L.L-72_, Type of Roofing Ce/�fs' Ext. Finish 7:-/-217 Int Wall Finish %%fJ''6ince—
Use of Bldg. i'--1-. /X O A AtreLleji No' of Units 4 Bedrooms
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 and streets; (5) dimensions of buildings; •) 1. ation of sewage sys-
td water supply lines. -�
RRESIDENTIAL ▪ - ▪ COMMERCIAL
NORTH
State Lic-nse No.
Ind. In-. Acct. No.
SOUTH
I hereby cegffy/information-submitted
as shown.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans'Checked
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other structures located on this property except
Owner of Agent
A LAND US"E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
4-1,
DO NOT WRITE BELOW THIS LINE
Your street address will be 7o The zone is C -i->;
Sewage Permit Number Issued Building Permit �Receipt 117a� %
Remarks �3
Form 523 Bldg. Code
Issued
CERTIFICATE
I certify that I'have surveyed and staked the South 75 feet of Lot
5 in Block 19 of Hutchin(s Addition
as shown hereon.
Jim Luhan
..E. 10825 - 23rd. Ave.
Spokane, Washington
March 11,- 1977
in the County of
Spokane, Washington
V.
torea/a44.07.-
E CAMERON
Professional Land Surveyor
asakow044 AJC
INDICAT60 IPLoN -Rap
Scas.a 1.44 2.010
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