1976, 06-21 Permit App: L4425 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERNIT 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 thl
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 disturb
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 GOOF HOMFS, (NO_ Address E. 9723 Sprague 99206 Phone 926-8400
Architect Address Phone
Engineer Address Phone
Contractor Frank Madden Address F 17071 Wel les 1 elf Phone 924-649]
Legal Description of Property (Give complete description from deed, tax receipt, etc )
`plc 6, y 3 ` 7r 7
Lot 7, Block 1, Wellesley Manor 3rd Adalition. County of Spokane.
State of Washington
DESCRIPTION OF WORK: New - -X— Addition Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot 96 X 1 30
.....LDimensions X 4o
Sewage System Sept_ Const. Frame
(Fr., Conc., r., etc.)
Stories Dimensions
Total Sq. Ft 1004 2 950
Valuation
Rooms 6 Baths Basement Ful 1 Foundation Const. Concrete Chimney None Fireplace None
(Full, part, none) (Kind) (Number
Heat. System EBB Type of Roofing Comp. Ext. Finish Wood Int. Wall Finish Drywa 1 1
Use of Bldg. Res i den t i a l -s i n gie garage No. of Units 1. Bedrooms 3
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.
NORTH
RESIDENTIAL - COMMERCIAL
See Attached Drawing
SOUTH
State License No.
233-01-11125
Ind. Ins. Acct. No.
189, 592
REQUIRED
Plumbing Permit Mueller
rn Heating Permit Fobco
to Sewage Permit Eller Rosa
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c r ify informs. ioC11131
iitt. is correct and there are no other structutes lobated on this property except
as shown.
a 4
( Owner or Ag nt Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.)
THIS IS NOT A PERMIT.
61,E ')'442-N... �,.7.() DO NOT WRI ,BELOW T IS LINE 3
Your street address will be
Sewage Permit Number
Remarks
Issued
c The is .kJ.c
Building,Peiit y 5 Receiptzone// r " Isrsued
Form 523 Bldg. Code
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