1976, 05-24 Permit App: L4189 Residence APPROVED AS Nccriii,,
.
y of Spokane, Washington
Spokane ounty Bldg. Cid- Dept.
• ILDI c' •D�. -DE'ARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 ��
Date G , •
P% ',AP 411, " FAR LAND USE OR STRUCTURE PERMIT -T.'..._.by . _ l�j TrN '
i , TS PERMIT FEE
PERMIT REQUIRED. A land use or . cture permit is required by County Resolution to erect a building or structure of any
kind or alter any building or ructure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and oning 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 (iol-- L LLQ _.\_1,?"-',II.,I,La.-Ltc..- Address J/< )/r ((si.(t.E',Atr i:t,-L•:.f Phone •-173.-.1')- -'1-- `' `�
Architect_ One Phone Engineer Phone
Contractor rz-j,fit y kt.t' Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,t1 j...( ,)i' J4/.5 .i2....2 7':,7
— -- Lot 28 Block 1, Veradal A Hig1 tg --------_-.---
12th Addition,t5 County of Spokane, Spokane, Wash.
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone__ Fire Zone -.3
Size of Lot 85 X 125 _ Sewage System septic tank Stories 1
const.Frame Dimensions 2642 f* .1 Y�L Total Sq. Ft. MR /.55'L Valuation 35,000
(Frame,concrete.brick,etc.)
Rooms_Baths 2 Basement full Foundation Const. concreteChimney Fireplace I
(Full, part, none) (Kind) (Number)
Heat. System gas —. Type of Roofing Comp• Ext. Finish 1-ll .Int. Wall Finish C2rWal1
Use of Bldg. residence (X_ No. of Unitsl Bedrooms 3
Garage or Carport Attached garage _ Private Detatched
P, i?, ,,, c.0 t 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.
4 -j
• .L0- ti.,t_.
Ind. Ins. Acct. No.
•
('may 4.
A' ..
REQUIRED
~I Plumbing Permit
r � , i n+ Heating Permit
a
itN Sewage Permit
'.4, # .r t�• � 11 Plans Received
TY liaise , et
Plans Checked
Plans Returned
to Plans Picked Up_
7 Plans Mailed
gs SOUTHSharp
I hereby cprt,ify/information submi ted is'correct and there are no other structures located on this property except
as shown. / ''''' i
j' -i ri- r ,t'ic rody
214 X976
Owner or Agent Date
A LAND U E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6 7 tyteF_ DO NOT WRITE BELOW THIS LINE 1 ,,
Ss (.
r 's�CC.�GC�zc,.k...14...,
Your street address will be - / �l -. , ; ° -+�/ le zone is -
Sewage Permit Number IssuedBuilding Permit ,7 Receipt (`)c6 `7 v-Issued
bnIEW
Remarks /---Th - F
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a I W./ iii 1 4I_ A _ Le . �,�>i40 ei
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Form 523 Bldg. Code -�°.....)