1977, 03-16 Permit App: L7467 Residence, Replaces L6954 County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITED)240- q,,
GENERAL REQUIREMENTS PERMIT FE
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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 conor�vi h t ei
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. O'6G/I cf
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 En ginpoi'a-Qffice.
SEWAGE SYSTEM4ermits 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 lin f a
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 �hgre 4
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.
SI
APPLICANT FILL IN BELOW THIS LINE
Name of Owner �"A. _ _. �. I ! ' es •ddress 7004 l/17/?/1/i/7 /;�
)!f/V,C Phone v4-432A
Architect Phone Engineer / Phone
Contractor kSGAG,Ei-3O C oit/S`-%, (.2o. /
o. Address . 'f&)4 �.//!Pf�iV Z' DA,/v. Phone '/24(-fj'zfi
Legal Description of Property (Give complete description from deed, tax receipt, etc.) tor-- ,r.,r 40 /�
4rifir"-e 4} Or `_ L K _/Q op C21e DD'/4 ' (2-1,-../-k1 ' --.e,-2
1 .2,45 _1 a-7k,:i
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone f Fire Zone
Size of Lot ecir 1 Oil SC /3 5j'f ()!f Sewage System S4*'Y L !A'/K Stories
Coast. Fr2.A./�f Dimensions 37r1t�X 31�O"�').A,, 4')ds'g -1- .rO X 2ridotal Sq. Ft. 4438 Valuation
(Frame,concrete,brick,etc.) � a&rE
Rooms S" Baths / Basement/rLl, Foundation Const. YY'IE tG Chimney __ga.:_.Fireplace
(Full, part, one) //�� (Kind) (Number)
Heat. Systempi.. r AS Type of , ofing (,L� /Tl()nl Ext. Finish ('✓0 on Int.Wall Finish ��(2Y'{ /4L.L.
Use of Bldg. +�iC s%1�E[11G� TTRcif� `��� No. of Units
Bedrooms
Garage or Carport Attached Private Detatched
PLOT PLAN
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Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) ion of exis(ing 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.
33 -01 4-2cf
Ind. Ins Acct. No.
3//d 40
REQUIREDri4act,-+2-4 C3? -6 71'3
r'
- 47-'-rActiez)Vear(fl�� Plumbing Permit / /�iG�5nt1i
`� m HeatingPermit Oils 7
en
L (o q ( /� r� �
ut ,S 7 Sewage Pe nit C�Of/Aj fgCr/
Plans Rciv '(
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h .{� Plank /•: '4 Ma k'
S e rned
7-VAYI ,' p 8 /" Ian i@ ed Up
,tev1)
SOUTH ��
I herety certi 'nforma,�''n su r•tte. is cor ct and there ai''e4n other truct es located on this property except
as shown. - %d� Alki / •
ner or A:-. . Date
A LARD USE OR STRUCTURE P • MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
e zone is �L
Sewage Permit Number Issued Bu lding Permit I _ Receipt _ Issued
Remarks
O' 14•,-eo•e-4 -
Form 523 Bldg. Code
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