1974, 08-05 Permit App: K5409 Residence • •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ! .°-
iENERAL REQUIREMENTS PERMIT FEE / �
IIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
i or alter any building or structure already erected, or to change a land use. Construction must conform with the
Lane County Building Code and Zoning Ordinance. Construction is subject to inspection.
3R. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
IGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
.BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
At 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
PE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
egress.
ITY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must lie
'ormed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
:NG OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
may, clearance must be obtained from the County Engineer and/or State Highway Department.
3SSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
'RICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
.h are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
of Owner - • Address s-(v one
q-6, 3/ �
itect Ar Phon Engineer Phone
recto.... ...//a - Address Phone
1 Description of Property (Give complete description from deed, tax receipt, etc.) jra 4o5_4 _"‘ _<,47
_ :41•41Z- - 07.5//- 0IO
3CRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone 3
of Lot / ) ' C) ( Sewage System 7 Stories /f Gro
st. *— Dimensions 3 u
a )( Total Sq. Ft. , Ze Valuation 4,Tf4,ig,Id -.......
ame,concrete,brick,etc.) �e
ms f Baths�_Basemen:fi/ . 11 Foundation Const. ( 1��1 ` Chimney Fireplace
(Full, part, one) �� (Kind) (Number)
t. Syste Type of Roofing C +efy' /Ext. Finish )7714_2.. Int.Wall Finish
of Bldg. -,i C. j c O-AL-0 ^e_ ` No. of Units Bedr oms
age or Carport Attached U Y Private Detatched
`\ Q,i
PLOT PLAN
Draw sketch th dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH State License No.
�
��octr ,e,7 Ind. Ins. Acct. No.
gi-z4 (24_
�"" ^ � i I . • t
4e.e4g.. ..
REQUIRED
Plumbing Permit
4771
m Heating Permit i
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up �_
Plans Mailed
(\j--4)(1SOUTH
I hereby certify information submitted is correct and there are no other structures located ononthis operty except
sown. 'C
Owne or gent Date
.AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS IS NOT A PERMIT.
DO NOT WRITE B ,W THIS LINE
street address will be - , 7` 0 I'
• .e zone is C
to Permit Number Issued Building Permit 411 Receipt 670 I ued s
rks
n 523 Bldg. Code
1 7 a:
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