1976, 09-17 Permit App: L5466 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201,_
APPLICATION FOR LAND USE OR STRUCTURE PERMIT g"-
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 LANE,,,
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Name of Owner IR . $ M S. S TE tie - ,. ddressf 3 3/ -' —9 , ,.. Phone % '7z// 9-3
Architect tiw"i bortg. Fisc •hone 3)`?/Io Engineer Phone
Contractor A''T-0 ,v i FF$O {J'jS ��� , Address 6-S-1.--1.4.4.- %(U Ny WELL Eg Phone = 9// Q
.
Le ri'tion of Property (Give conplete description deed, receipt, etc.) 1
from
bx
L_ o c- ,4—(Z
-QTY -- 0
DESCRIPTION OF WORK: New Addition Remodel Moving dg. one / Fire Zone ' -
f
Size of Lo 9/+ 9 %-S--... Sewage Syste ...�. '�•� f r•s
r f 0
Const. Dimensions 3 103 G, 4. ��jt.i rs�r�c.�J Total Sq. Ft—v 000-
. V atio
(Fram concrete, brick tc.) .. ' '�
Rooms - Baths/ 7••/.-Basement Foundation Const Chimney /Y O s•✓LFFireplace Y
= (Full, part, one) (Kind) (Number)
Heat. System LCL Type of • oofing Ext F' is Int. Wall Finish
v r • �.,.....i
/
Use Bldg % - ---
of �► No. of Units B d ooms
ed '—�
Garage or Carport Attac �6A. r4 Private Detatched
Of / I -
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PLOT PLAN P-4 3 l
Draw sketch with dimensions showing: (1) property lines; (2) street or road s (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions lb 1 s; (6) location of sewage sys-
tem and water supply lines.
NORTHState
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License No.
T-0-4/12-F 2/1/__.4,
1
Ind. Ins. Acct. No.
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J
REQU • ED
Plumbing Pe
�I//�'�'
m Heating Permit "r.
m
to
a
Sewage Permit -,.
N 111...../N11..__-
-I
-
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify i. mat'.n subm'_ •• i ,� orrept and ,/ e are no other structures located on this property except
as shown i 1
A LAND USE
THIS IS NOT
r'
Own•r or Age. Date
OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your Y v 6 .�
street address will be / e zone •-
_
Sewage Permit Number Issued Building Permit Receipt Issued
..i%
Remarks
Form 523 Bldg. Code
ANYON R. FilSCHER, !INC.
6522 N. D'RLIMHEL.14R
SADKANE, V'ASH. 99208
F 4-1,14
0-7- 617 C L7Z
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