1976, 04-30 Permit App: L3605 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE "1'
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.
NATER. 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 Offide.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. II
SET -BA
least
STATE
and egr
K FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property lire, of at
5' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
GHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
ss.
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
Architect
Contractor t at9 ew r o itj!
Legal Description of Property (Give
•
Address a.'1 Ent d� i'i- IVd/te l-)ivi'e Phone 9 -4328
Phone Engines;gg ,
Address O �J /?/Yb? Y6 Phone 8244 '4251.8
complete description from deed, tax receipt, etc.) �� `�5+ ' - - /4/i
ryreL ' Awi,i Azx%� X/
Phone
DESCRIPTION OF WORK: New xAddition Remodel
Size of Lot ?Zf'S 1 X 12S', i&&''
Const Matitg Dimensions !D !i LA!{oi 04, -
(Frame, concrete, brick, etc.)
Rooms Eft Baths ' Basement Foundation Const CO, Ci267
Moving Bldg. Zone
Sewage System A K
Total Sq. Ft 4 4' •• 7
(Full, part, hone)
Heat. Systeme G• Type of Roofing (7t), Ext Finish ii�t2L?!�
Use of Bldg. 7SESineloieE jy 4r, ///D 4i2,4&
Garage or Carport Attached 1477441-452)
Fire Zone
Stories 715 -I-6-✓6L-
Valuation
Chimney Pin. Fireplace /
(Kind)� (Number)
Int. Wall Finish r)17Ylel flaL
No. of Units / Bedrooms ,'
Private Detatched
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; (6) location of sewage sys-
tem and water supply lines.
CJ
m
N
-4
NORTH
s show
fy in
SOUTH
ilf?„i111100 b" —
Owner . A• .t Date
D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
m
State License No.
133 -of --84.4
Ind. Ins. Acct. No.
:31R 310
REQUIRED
Plumbing Permit jt--!t•'L 0,0 7760-
Heating
7e4Heating Permit ( ',bw( rCr,
Sewage Permit r -b6 //ii
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted is correct and there are no other structures located on this prope ty except
DO NOT WRITE BELOW THIS LINE
IID 2 )
Your street address will be r
Sewage Permit Number Issued Building Permi
Remarks
e zone is
Receipt
Form 523 Bldg. Code
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