1977, 02-07 Permit App: L6848 ResidenceP.•
Canty of Spokane, WasiTngton
3_
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE, SD �•0
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any r
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 1N BELOW THIS LINE . 99a/q�
Name of Ouvrltlar nim ' ��� ) Address - �- Phone /�alt.'1o
Architect Addresshon
Engineer o •_Address • Phone
Contractor �CL��Y Address Phone
Legal Description of Property' (Give complete description from deed, tax receipt, etc.) Q i4-5-9/ - /1/0 g-
•rl',,^ , 5(5/ 4 rtizn&Toes . OJT.CAkna , zit cS', iy� ; c
.r7/..z N :P90s-- `- - vent W,
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DESCRIPTION OF WORK: New Addition Remodel Moving Bldg one Fire Zone _
Size of Lot p % Si X � � f Sewage System aZ Const. -�
9p� i i
Fr., Conc., Br., etc.) eo
.•mac( Stories /�/ Dimensions /6 A" 3 .(z) 'a a )( 3‘. Total Sq. Ft. /9y? Valuation 3tO
Rooms to 'Baths ^1 Basement N4M Foundation Const , ten1C. - Chimney NE Fireplace NA
n Fu I, part, none 'r' /� • ( NE
(Number
Heat. -System Gxsc_: �-/.Q Type of Roofing (lent • Ext Finish T 1 k I Int Wall Finish �yrxx-+-Ip-
Use of Bldg. ' 'MILt��•j r .) �I t\ l it" 1G c X1--4•- e. 0 No of Units _Bedrooms 3
TG OPLOT PLAN
Draw sketch with dimensions showing: (I) 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.
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1r{UORRH 1.411 GS RESIDENTIAL COMMERCIAL
P/ )e
State License No.
Uc/'WV •
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit '
Heating Permit r
Sewage Permit �1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SouN4 CAs7,
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
a-7--17
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be*
Sewage Permit Number
Remarks
gq/ ii7c)crn,,, � l
Issued
If ea
Building Permit
e zone is i•
Receipt a ri Issued
Form 523 Bldg: Code
r
CERTIFICATE
I certify that I have surveyed and staked the following parcels
in Spokane County, Washington, as shown hereon:
,-/ `� 0
The south 90 feet of the north 390 feet of Tract 44 of Trentweod 0.35-4,
L Orchards, EXCEPT the gest 5 feet thereof.
' Tract 44 of Trentwood Orchards, EXCEPT the south 140 feet, EXCEPT b.:3541-l`le
the north 390 feet, and EXCEPT the west 5 feet thereof.
Len Huppert
E. 17225 Trent
Spokane 99216
September 14, 1976
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(PLAT -3o4.47)50
V. CAMERON
Professional Land Surveyor
SLE: 7 "' ZoD'
o- 1Noicir6s STCU' Roo
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