1976, 02-19 Permit App: L2677 Residence2
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE; WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a—�-
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 Ellwood W. Carlson Address 1 5008-.F 16th VPraAa1 P Phone 921E-0906
Architect Address Phone
Engineer Address - Phone
Contractor SAtnP Address 2.011-0!0
Phone
Legal Description of Property (Give complete description from deed, tax receipt etc) EQ�-CAO• 7r.1. -5S1 3 -n7 /a
Blk 1 Tot 15 Tamberlane 2nd Addition
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 149 x 102 x 56 x 157 x 68 approx.
Storiesd_Dimensions 26 x 48 ._ _
Rooms 5 Baths 2 (Full, part. nonr/ �.C6 .Q Foundation Const
e
Heat. System el Get . FA Type of Roofing romp.
Use of Bldg. single fam. residence/'fl.
Moving Bldg. Zone 1 Fire Zone 3
onst. Fr .
(Fr., Conc., Br., etc.)
Total Sq Ft 1872 Valuation 40,000.00
cone?. Pte Chimney hrirk Fireplace 2
(Kind) (Number
Ext. FinishT .Sid.Br.T-111 Int Wall Finish drywall
- No of Units _Bedrooms 3
Sewage System- PptiC t.
p•a e e ' rLOT 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.
a
-1
NORTH
Sd
State License No.
OK OA/ P/J E
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
as shown.
'on submitted correct and there are no other structures located on this property except
Owner of Agent - Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6»
11141431 DO NOT WRITE BELOW THIS LINE
yet
9 }-
Your street address will be y(}, 2 70 % 0ilA/�/-�-i� �il� The zone is 2f.,74/-1/j444fc •
Sewage Permit Number Issued 0 Building Permit l_-2 77 Receipt Issued
Remarks
Form 523 Bldg. Code