1976, 02-19 Permit App: L2679 Residence® •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811. JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Li
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 9'9017
15008-E. 16th Veradale
Name of Owner Fl lwond W. Carlson
Architect Address Phone
Engineer. Address Phone
Contractor Cama- Address PA Phone
Legal Description of Property (Give complete description from deed, tax receipt etc) ''f''x • S cI
R1 1 T.nt. 14 Timberlane find Addition
Address
Phone 924-0906
DESCRIPTION OF WORK: New XX Addition
ze of Lot 360 x 140 x 150 x 68 approx.
toriesi Dimensions 26 x 48
Rooms 5 Baths 2 Basement full
(Full, part, none)
Heat. System el art, . FA Type of Roofing comp.
Remodel
Moving Bldg. Zone } Fire Zone 3
Foundation Const
Use of Bldg. qin 1e ram. rest 'd Q ,.-..,✓i
Sewage System septic tan}fonst. fr.
('Fr., Conc., Br., etc.)
concrete
Total Sq Ft 1872 Valuation 4o,000.00
Chimney brick Fireplace 2
(Kind) (Number
Ext Finish L .Sid .Br .T—llxnt. Wan Finish drywall
No of Units _ Bedrooms '3
P ence
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) locationof 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
SOUTH
P
y
State License No.
221 S] 14032
Ind. Ins. Acct. No.
nK 0A( Pike
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
as shown.x
I herebyAt informat n submitte s,Correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
Your street address will be• 34, .Q 7 // pi/iH('
((
Sewage Permit Number Issued _ / Building Permit ,(` J, 79' Receipt Issued
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is at 4A.(fiCt-, &A/fru d
Form 523 Bldg. Code •