1975, 10-17 Permit App: L1837 Residence 4110 •
Ciify of Spokane. Wasligton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._.i.29V
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.
1 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.
• r,- APPLICANT FILL IN BELOW THIS NE 9 6.)l ,,
Name of Owner i_. _ - i/ _ _ Address , ' /r. , /__ -(G'_� ' Phone 9a)ii' /•' a
Architect Address Phone
Engineer Address Phone
Contractor -77t i1_. Address Phone
Legal Description of Prorty (Give complete des n tion from deed, tax rec ipt etc.) i A0'-, fit
7S-/ I rit:' AQ 0,41./-L2 --72 75/%
q(--„,,ax,..."----47, _,,,
_
DESCRIPTION OF WORK: New Addition Remodel Moving g. Zone —/ Fire Z. e L.
Size of Lot ' .----/ .X j (,Q / Sewag i Const AB �)
Stories_..Dimensions 3 Q ..}',_,)j _ Total Sq. Ft. 7 ? a Valua i nc ,, `1
Rooms 41• Baths / Basenie �_ L_)Foundation Const. i 'ii / Chimney d Fire ce C
(Full, part, n e) / (Kind) (Number
Heat. Syst '^,. Typ of Roofing �Yr Ext. Fini: i' Lt'dd/LL&t. Wall Finish
Use of Bldg. / J g �yi,J 2 --220 ...4_,, ,e.......-9 i No. of Units_Bedr s "•
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 State Ligeennse No.
Ind.Innss. Acct. No.
• QUIRED
J Plumbing Permit a %_ • /-&
A I/,e0.......y
✓%,,- an Heating Permit
to tot Sewage Permit
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer yfy informat'os submitted is correct and there are no other structures located on this property except
as shown. s t, ry p
/o —/'9" 7-r—
r Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. j
a
` ` ,r (--DO NOT WRITE BELOW THIS LINE
Your street address will be r ,. . •
The zone is i(.1 ✓�/ >1 4
Sewage Permit Number Issued Building Permit 1 e_.17 Receipt Oe Issued
Remarks
_ Form 523 Blda. Code
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14011 E. Mallon
Spokane, Via. 99216
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LEGAL. DESCRIPTION
Parc.�1 * 1 The. Nor4C, 1 S fet.* of" Lo4 Ile dtnd. . No 1% 7Sfec4
of Lot II in atoc.k 3Z. oC Untuarsdy Plia.ct.
marc*.1 "2Lol'5 ‘ k acrd 12. oC a,tea 32 o4 (Jnsti r-si�, Place ¢xcc,�r}
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