1976, 04-07 Permit App: L3315 Residence County of Spokane, Washuigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMI !� ?. _
GENERAL REQUIREMENTS PERMIT FEE.__7
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 connect4,s dist'rrbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's (Waft..
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 ,I /G-
Name of Owner2 _A&!, ' I '1- Address -17 1,1-4-7 Phone e 00100
Architect Address am/ Phone
Engineer '''7 f Address --- Phone
f
Contractor >� 4 Address _ ) ^ Phone
Leg9I Qescription of Prope (Give complete escriptio).from deed, tax receipt, eta.)/ = � S� �'P
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire ne
Size of Lot %t h /b l-•ii Sewage System i' oust:
(Fr., o Br., etc.
Stories imensions 1% �3 Total Sq. Ft., /� 4r 6—en
.—�� �//� Valuati ,
Room 6 Baths <1 Basement Foundation Const. _ - Chimney Fireplace f
�jJ ( �:G (Full, part, nope) j (Kind) (Number
Heat. System Type of Roofing Ext. Finish Int. Wall Finish '' �� -
Use of Bldg. yt `
� �- l _ No. of Units,_Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;(3Y location of existing and
proposed buildings; (4) distance to property lines sad streets; (5) dimensions of b 'dings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESID( ENAMMERCIAI(
State License No.
Ino. Ins. Acct. No.
74
REQUIRED
deg
Plumbing Permit
m
m Heating Permit
v+ N Sewage Permit
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certi ormation submitted is correct and ere are no other structures located on this property except
as shown. `V
1 - 41^--67 .2C 3
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE EMISES BEFORE CONSTRUCTION COMMENCES.
_THIS IS NOT A PERMIT.
,a4t7 DO NOT WRITE BELOW THIS LINE
Your street address will be //'6 e.* l� — L , ;f ! The zone is ,
z417-r
Sewage Permit Number Issued Building Permit g-5,,, Receipt( / ESM Issued
Remarks • _
cs--61‘4"1.---/IC —•••••••••-• -
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Form 523 Bldg. Code
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MAP showing survey of the West 70.00 feet of LOT 4, BLOCK 4, LOCKWOOD .Gd'�°- t,,IATC ���2,9�
HEIGHTS SUBDIVISION, in the Countyof Spokane, State of Washington. '3 } � �U
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Mildred Volz ;% -
N. 1216 University Rd. ARMCO Surveyors
Spokane, Wash, 99206 E. 2014 Longfellow Ave.
April 6,1976 Spokane, Wash. 99207
#76019 HU 7-7477
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