1977, 04-04 Permit App: N0760 Residencet
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Basic Job # 116
Canty of Spokane, Wasl9ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .456..Q0
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, eP 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 $ohert A_ Ton Address E. 11922 - 25th Phone 924-4782
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Parcel # 20543-9027
T,ot # 6, Rik. 3 Sherwood Forest
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 80x130
Stories / Dimensions 26x46, 22x26,
Rooms Baths 2 Basement +u 11
(Full, part, none)
Heat. SystemP A F'.1 P. c Type of Roofing Shake E
Use of Bldg. B�' fii d enr'P. wi th deck and garage
Moving
22x26
Foundation Const
Bldg. Zone —.1— Fire Zone
Sewage System S e p Tank onst. Frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 2 340 valuatior$48 + 500.00
Chimne aSOnrYFireplace 2
Ext. Finish T1-11, LapInt. Wall Finish Sheet Rock
(Kind) (Number
No. of Units' Bedrooms 3
3
Congrete
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PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
°posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
See Attached plot plan
I here," iforma n submit
as shown.
SOUTH
ace,
Owner or Agent
A LAND USE OR STRUCTURE PERMIT
THIS IS N A PE
Your street address will be
m
N
State License No.
I,0-NG+&*R-A246R0
Ind. Ins. Acct. No.
327-551
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this pro erty except
Date
UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued Building Permit
Remarks
The zone is 5 R
4 6') 6, a Receipt 841,3reIssued
Form 523 Bldg. Code
7,
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Leyr �BLK.j
Si/6-RWOODFOREST
-<lO B 14).
80
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