1976, 10-15 Permit App: L5846 Residence 40
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. A
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
4 least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required. c
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.
4// S(�� APPLICANT FILL IN BELOW
+ THIS LINE
Name of Owner /f3A/E<' , w,ewC Address 6 >8O4/iP,i'i E/7 Vie/VF_ Phone 4'2/ -4:32
Architect Phone EngineeO ,/ Phone
Contractor a:14 4, d5�
ego C ('0. Address )Cirt841L. 4/2W'f rR 7rzi✓E Phone 472 -iY18
Lega Description of Property (Giv complete description from deed, tax receipt, etc.)/ai4�e e L. -"Pg „.,/j,-5-16,..2 11- O3
- bor #3 -/OLi< #7 -- VALL,EY L�'w #/44.fl /-�zp,/✓.
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone j Fire Zone '3
Size of Lot 7/ 4- X / 76 Sewage System t t /l�X Sto ies St .
Const. p/144146 Dimensions S2f-O'XC Z(e�nit /VX/D o2C Xa 5I Total Sq.Ft. 02//(o Valuatio 1 Ow o0
(Frame,concrete,brick,etc.) �1
Rooms 7 Baths 2 Basement Z1U Foundation Const. A.�c, /',� ChimneyJ/7.7-,<__Fireplace
(Full, part, none) /� le (Kind) (Number)
Heat. System/a 4.4J` Type of Roofing l'1 � Ext. Finish kt Int.Wall Finish'---)12 Yii v'ALL
Use of Bldg. )76' P. . E "/.' 1 - . ' i' No. of Units / Bedrooms a
Gai... or Carport Attached Private Detatched
444 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.
2.3?- Ci/- 94-l9
Ind. Ins. Acct. No.
3i/
x , REQUIREDJ',`�
f
O fg ii-rrA-COPqV Plumbing Permit 1C�/`yEnsad
en Heating Permit ^�L�Ett)vC 7
141
N N Sewage Permit C Y,/k,-/f
.4 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer 'fy , ��:,�y., • .►witted is correct and there are no other str ures located on -this property except
.- lent , Date
D USE OR STR URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street ress will be 54/0 S' — 74 i
P le zone is /kid/f---1-C;---1-C;(6.� �.
Sewage Permit Number Issued Building Permi . Receipti T
_Issued
Remarks
C
t
Form 523 Bldg. Code
e
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