1976, 09-22 Permit App: L5521 Residence,F 257 Job !f 139
Cloy Spokane, S okane, Wash%fon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 50,00
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
Phone X28 --3O7
Name of Owner 11 .. • r r..� n . y•ddress p.c. 37'. 14217, ;Dalt �.nP
Architect Address Jl 4 Phone
Engineer Address Phone
Contractor So.r1P Address Same Phone Sane
Legal Description of Property
(Give complete description from deed, tax receipt, etc )
Z' - ),7i K, frjp' 7
Sec. 20-25-/,t!
-Parcel ;3 T.Tone
DESCRIPTION OF WORK: New
Size of Lot
al785x130
1
Stories. Dimensions 25x'17 12x22
Rooms�— Baths 2 Basement
�
(Full, part, none)
Heat. System RR Type of Roofing dhake
new Addition
Remodel
Moving
Sewage System
Total Sq
Bldg. Zone / Fire Zone -3
sertic Const. frmmp
Fr., Conc., Br., etc.)
. Ft 2,000 Valuation 30,000-00
Foundation Const concrete Chimney ins - Fireplace 2
(Kind) (Number
Ext. Finish n1 y74nn3 Int. Wall Finish chcctrock
No. of Units _ Bedrooms 3
Use of Bldg. sing je far _ rnq
I
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
-1
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
attatched
as s
SOUTH
I hereby certify information submitted is correct and there are no
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Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
m
State License No.
ri-ch-ar-c225cf
Ind. Ins. Acct. No.
232-257
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
/22 /76
Date
CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0 IM.
Your street address will be
DO NOT WRITE BELOW THIS LINE
' ION W1R,i1
The zone is R
Sewage Permit Number Issued Building Permit ,41NMWO Receipt.5n,-1- Issued
Remarks -,C (32/
Form 523 Bldq. Code
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