1976, 06-10 Permit App: L4259 Residence a -
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 149.00
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.
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 IN BELOW THIS LINE
Name of Owner_ •a - Address Rt.2 Post Falls, Id. 83854 Phone 773-4281
Address
Architect 7ndrlstrial Drafting E. 9510 First Phone 928-7755
EngineerT,and{"3rk xv yors Address Liberty Lake, Wash. Phone 255-5159
Contractor Robert Yie aet Address Rt. . Pos . FBI's, Id. 838514 Phone 773-4'281
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 10, Block 3 NUMMI' Wellesley Manor 2nd Addi+.ion, Spokane, vin .
0 i. '/ . -:x. 7/4-?
DESCRIPTION OF WORK: New Y Addition Remodel — Moving — Bldg. Zone _1 Fire.Zone 3
Size of Lot 95X142 Sewage System septic Const. frame B e(Fr., etc.)
Stories I.—Dimensions 24x42 w/ 21 x 22 garage Total Sq. Ft. 14.70 Valuation 30,700.00
Rooms 7 Baths 1.____. Basement {'vll Foundation Const. concrete chimneymason Fireplace 1
(Full, part, none) (Kind) (Number
Heat. System El. BB Type of Roofing composition Ext. Finish masonite Int. Wall Finish drywall
Use of Bldg. Residence W/ garage attached No. of Units►Bedrooms 3
(1 Al < t ck'-s.14. L 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.
H / 4/ 223-01-8698
223-01-8698
JInd. Ins. Acct. No.
Z.--i_ � 2316-00-036761
sr Employers Ins. of WAusauY
`rl 111:7111 -..,. REQUIRED
y SY a
Q Plumbing Permit Gold SEal Mech.
2 0 . ( ', Heating PermitFoben Elect-Erin
'___ — - Sewage Permit Les Waggoner
--1L'- ,.---- t
Plans Received
Z - — — N Plans Checked
Plans Returned
7I- 7'7 _ __ Plans Picked Up
Plans Mailed
5.0.11.111 5'�`
I her-• if info do subm tted,is corr.- t and there are no other structures located on this property except
as shown. 7
._ Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6/1L -Wait ! DO NOT WRITE BELOW THIS LINE
'
Your street address will be l / C, C) :` It-,‘-(1 ) (,(-,-4-C _ The zone is 1\y'%" {. A P L6{ 3‘-'1.4-a)
Sewage Permit Number Issued Building/YPermReceipt O*V. Issued
Remarks
Form 523 Bldg. Code