1974, 05-20 Permit App: K4635 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT n
GENERAL REQUIREMENTS PERMIT FEE 6)
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 mast conform with the ,
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
QWATER. 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
Name of Owner. _ .:5 '+:. T + _1, Address S. 3915 Sundown Phone 924-6497
Architect Address Phone - -
Engineer Address Phone
Contractor F.M. Madden Address S_ 3915 Sundown Phone 97.4-649'7
Legal Description of Property (Give complete description from deed, tax receipt, etc.) _
Lot 4, Blk 3, Wellesley Manor 2nd Addn. B-976-#9
/- 5,l?__ -Q 70 T
DESCRIPTION OF K: New x Addition Remodel Moving Bldg. Zone / Fire Zone
95 ' x 142 '
Size of Lot Sewage System septi C - Const. frame
Conc
2 39 'x24' plus 202x24' garage 1936 (Fr., 26r.
'x.
Stories Dimensions Total Sq. Ft. Valuation
Rooms Baths 2 Basement 100% Foundation Const. Concrete __Chimneynone Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System E .B.B. Type ofRoofingCoyt_ Ext. Finish wood Int. Wall Finish gyp
Use of Bldg. Residence X1.4_- (2 . _ No. of Units 1_Bedrooms4
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 State License No.
CK -' Ci/v F/LE
Ind. Ins. Acct. No.
976 Main Floor
480 lower level
480 garage
REQUIRED
1936 Total Sq Ft .
Plumbing Permit Mueller
Drawing attached n+ Heating Permit Dahlen
H Sewage Permit Loshbaugh
-+ -I
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. I/ / c/ 7
Owner or Agent Datoe
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. c
THIS IS NOT A PERMIT.
etiCei DO NOT WRITE BELOW THIS LINE
•
Tour street address will be //:,0,2,6 . R, /The zone is •
Sewage Permit Number Issued Building Permit ri4603 Receipt Issued
Remarks
•
Form 523 Bldg. Code
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FHA Case #: Job 4: Ii< 9
Address : `'w
Mortgage Co. : F i rstbank .. SPECIAL INSTRUCTIONS :
Power Co. : Water Co. : ,
WWP Tren twnod
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Plumber: Excavator:
Loshbaugh