1974, 05-20 Permit App: K4637 Residence i,. _
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ela
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 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 any 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.
GEN/R. i/datie,3 APPLICANT FILL IN BELOW THIS LINE
Name of Owner CF.M. Madden) Address S . 3915 Sundown Phone 924 6497
Architect Address Phone
Engineer Address Phone _-
Contractor F -M_ Madden Address S 8915_ Sundown Phone924-6497
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 1, Blk 3, Wellesley Manor 2nd Addition B894-#7
DESCRIPTION OF WORK: New X Addition Remodel Moving — Bldg. Zone 1 Fire Zone
Size of Lot 98 x 148 Sewage System onst.
(Fr., Conc., Br., etc.)
Stories Dimensions 36 3c 25 plus Garage 2.08 25 Total Sq. Ft. 1770 Valuation 23 950 .
Rooms 6 Baths 2 Basement 100% Foundation Const. Concrete Chimne%lOne Fireplace
(Full, part, none) (Kind) (Number
Heat. System E.B.B. Typa.of Roofing comp Ext. Finish wood Int. Wall Finish gyp board
Use of Bldg. Residence Ala ,(r~t - No. of Units.Bedrooms2
�' 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 1 lines.
NORTH State License No.
ON
Ind. Ins. Acct. No.
894 Main Floor
336 lower level
500 garage REQUIRED
1770 total sq. f t. Plumbing Permit p�u ller
Heating Permit Datilen
Drawing attached
to H Sewage Permit Loshbaugh
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb - ertify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent fate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. r
�MJte-ie- DO NOT WRITE BELOW THIS LINE
Your street address will be /66- 0 E1'. The zone is
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code
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Basic: Split Sq. Ft :
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Legal : ,07/ HGOCi<-= i' ("r L /_E-"/;; /VOE ZA✓D "r---''''
FHA Case #: Job #:
Address :
Mortgage Co. : Firstbank SPECIAL INSTRUCTIONS
Power Co. : Water Co. :
W•W•P. Trentwnnd
Plumber: Excavator:
Loshbaugh 1