1976, 06-24 Permit App: L4485 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE .
kndITrEQalnlistructure
rascyuResolutionty to erect a building or re of the
ind o
r teraybulding orstructurelreadyereted, ortochangealand use. Constructionust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
e
heEs Water
shoulders be
County Roads, permissionandState ealth must bepobtained fromrtheork Countyster Engineer'stOffice�s\rbs
the surface,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions No. 45-133 and 47.235.
leastSET-BACK k
25' isMrequired, al 5' side yard,zones and 15' side yarrdrfrom aost cflankingnstreet,sandbac25' rearthe
yardfront
areprequiredline, of at
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress.
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
Phone? V 19( Ov
H25 --VA-f•/ r w g Address 13 0 L
Name of Owner Phone
Architect Address Phone
Engineer Address
�s f _5/ 9 'i - C Crx .5 i CO Address Phone
Contractorr� ���o�67//�( /'s •�,i a — !
Legal Description of Proper (Give complete description from deed, tax rec pt, etc )
/iIJJ . / 3 -1
DESCRIPTION OF WORK:
Size of Lot g -.5 -
Stories __Dimensions
Rooms S Baths
Heat. System
Use of Bldg.
New Addition
/(J!.'
6'a '
IIBasement rU / 1
par ,tnone
(Fu , p
Type of Roofing
p
Remodel
Moving Bldg. Zone
FireZone
Sewage System S /" Const. ! � `x �-
(Fr., Conc.,�BBr., etc.)
0 Valuation36 'i1'42 0
Foundation Const.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
cisa-
Cd ►'1 C r- Q
Ext. Finis
Total Sq. Ft
Ch i mne
T�
Fireplace if
in. (Numb
Int. Wall Finish
Ito. of Units _ Bedrooms 3
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
2
RESIDENTIAL — COMMERCIAL
4.„1/
!pt_Q,,t pel-,-‘,
TH
I he eby certif
as shown.
pro,
su
m
a
.4
State(,cense No.
6. Acct.
No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
orrect and there are no other structure
OW er or Agent
TRUCTURE PER T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
PERMIT.
locateon this property except
ate
A LA D USE
THIS I
DO NOT WRITE BELOW THIS LINE
Your street address will be ,),-101-12,F 9'116 1(O r
Sewage Permit Number
Remarks
Issued
Bu! ding Pit
The zone is
Receipt /4,6 9 Issued
v <? t d rpta VIPs?, "' (-r®' 114
f l 124,1 fFel
(14.4 37 p,, rxt''4'/ y
7„ 14.! t t ,, ° , 'I i t% ar.
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