1976, 08-10 Permit App: L5026 Residencev Y
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND,USE OR STRUCTURE PERMIT "„/„.1 i
•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 mast 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 1s required to move an existing building. When a building is moved on a County
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
or State
Name of Owner G//a4 4,e ti Address E 11 30 5 S phaguo Phone 924-6922
Architect Address Phone
Engineer Address Phone
Contractor Wont inn 6thnrtAnin 11 nm in itnbAddress BOX 173 VenadcL e Phone 924-4662
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Panoek # 29541-1815 31.d
Lot 15. B2ach. 9 Choten Tonnarol Add.it,rav(
DESCRIPTION OF WORK: New ' X Addition Remodel Moving Bldg. Zone Fire Zone `A
Size of Lot105 X 131 64
Stories �SppDii ensions ny 42 X 26 Gan. 22 X 22
Rooms Baths 9 Basementu Foundation Const
(Full, part, none
Sewage System CP qi,(,r rst. F&amo
X44 cb �4 Conc., Br., etc.)
anon 40 000
('n Vlrnet0
Total Sq Ft
Chimney
Heat. System F A F Type of Roofing COM Ext. Finish 'T 1- 11
Use of Bldg. Rohde at/ a.Q ,t✓m p altet,
MP f aP Fireplace 1
(Kind) (Number
Int Wall Finish Dm ywa.PP
No of Units _Bedrooms
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
SOUTH
I hereby' certify information lubm ted is
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOT A PERMIT.
Your street address will be AZ/( x9. Gc2,u.t--rte .,i.Y-Gr/-e_, The zone is
Sewage Permit Number Issued Building Permit O ,tj�37.'� Receipt .L5/.29 Issued
Remarks
and
State License No.
223-01-19655
Ind. Irts. Acct. No.
OK- ON—F/.G.0
REQUIRED
Hayden Lake
Cneggea E2ec.
(U. Va22ey
Plumbing Permit
m Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Date
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
1
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Form 523 Bldg. Code
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