1974, 05-20 Permit App: K4638 Residence _,_ _
County of Spokane. Washington .
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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
7 kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
fl! Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
p WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs pa
a9 the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. I',
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. it
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
Name of Owner QENI 0FIES�.__ _..._ Address S S . 3915 Sundown Phon924-6497
Architect Address Phone
--__-
Engineer AddressPhone,�4-1i4y7
Contractor .V .M. Madden b. 3915 Sub-down Phoney
;;��Addressedpip
Legal Description of PXope�ty (GivtGolnplIte de werititiesiomd deed,
zna Alddn. B-H9'4--;i t3
LLOOrZ11-.. -/ 11? . � Q - 4/11112. - i s---0 i
DESCRIPTION OF WORK' New X Addition Remodel Moving__ Bldg. Zone 1 Fire Zone
Size of Lot 157Tx 1031 Sewage System 3.2-1211-e-- Const. Frame
12
36x25 2 plus Garage 24'x 25 1 1244 (Fr_, cono2Sr; '.00
Stories _Dimensiogs 10076 Total Sq. Ft. Valuation
Rooms -—Baths 1 Basement IU Foundation Count. CoXicrete —Chimney Fireplace-9
1Fuli. part. none) Ilifflifl (Number
Heat. System E .B. ` Type of Roofing comp Ext. Finish wood int, wail Finish gyp.
Use of Bldff3,;) g.
Residence �ya�+r,.�1� C{U , No. of Units'Bedrooms 2
0 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.
State License No.
NORTH e - /�€
Ins. Ins. Acct. No.
894 Main floor
350 Single garage
REQUIRED
1244 Total sq. ft .
Plumbing Permit Mueller
* Drawing Attached rn Heating Permit Dahlen
m a Loshbaugh
H N Sewage Permit
.4 -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
. Plans Mailed
SOUTH
I here certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent �4ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
O .N1Q--Vb DO NOT WRITE BELOW THIS LINE
Your street address will be /6 ea ? C,. The zone is a'- /,l 44 •
-
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code
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F.H.A. APPROVAL ONLY
I SPO. CO. HEALTH DIST.
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FHA Case It: Job #: it 84
Address :
Mortgage Co. : Firstbank SPECIAL INSTRUCTIONS :
Poe 'PCo• : Trentwood
Plumber: Excavator:
Loshbaugh y��
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