1976, 06-22 Permit App: L4453 AdditionSnty of Spokane, Wasington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, .WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE .J2 VV
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aqj'
kind or alter any building or structure already erected, or to change a land use. Construction must conform with th!!
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
424n .1. R 2 Ja >
Name of Owner
Address /3/ 9-/ 414-01(
Phone
Address
Architect Phone
Engineer AddressPhone
C •
Contractor J✓„r.�irli. ./fte //15 •Address/2n/9F.,fl 9/pp 0)0 Phone ?��yA,-
• Legal escription of Property (Give complete description from deed ax receipt et 1
VJ r/0 4i1, `a - t.4.1-1 t6 KS
eit4ar')
DESCRIPTION OF WORK: New Addition
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Size of Lot !n/y i3•L Z
Stories ._Dimensions
Rooms - Baths
Heat. Syste
Use of Bldg.
Remodel ✓Moving Bldg. Zone —/ Fire 7xpne .--�
NrSf
ro.(',2.o /o XStc)
Basement
FuIL part, no
Roofing
Sewage System
ndation Const
Cons
Fr.,1'.6(.rrrk�- _a Sc.)
Total Sq Ft ‘332Oi
� Valuat__on G
Chimney, (" (Ki ) Fi )ace r17.Inl,b '
.07.114.4 Ext. Fin i ,`. i Int. Wall Finish
#9711 '0 _t i_allir No of Units _Bed s
P/OT PLAN
Draw sketch with dlmensiona 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.
to
y
NORTH
RESIDENTIAL - COMMERCIAL
9,94
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Po•
nr•/3/AI ho ssdi
SOUTH -
I hereby certify information submitted 1s correct and there are
as shown.
State License// No.
',r, 3v/ �� (J-Lj /I -/AL
��Ind. Ins. Acct. N7
7 00 /
RE :•UI ED
Plumbing Permi
w Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property'except
Owner or retnt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address w111 be
Sewage Permit Number
Remarks
DO•NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code