1976, 06-15 Permit App: L4349 Residence Cc my of Spokane. Washildgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / S `�
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GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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.
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.
CCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
ESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
ich are enforceable through civil action. County Officials can not bring action to enforce covenants or ;die tions.
j/ APPLICANT FILL IN BELOW THIS LINE� 72—C: _
Name of Owner s/ I �{r" - Address r ' "�C. :� . Phone --
Architect
Architect Address Phone
Engineer Address `/ / Phone
Contractor Key' �d ne.f, .. `r c- Address /ie '- l✓L� Oil1/ Phone 72-2 "'$.Sy/r
Legal Des riptiGn cil Property (Give complete descri tion fro d ed, tax receipt, etc.)3Ize('.;LN" "2 urs'// --02 0
DESCRIPTION OF WORK:` New _ �� Addition Remodel _ Moving BI� one i_Fire Zone
Size of Lot t f b f }! 3,4 7 LI� V /S"/ ' k (1 (' Sewage System /lam 4.4/ c- Const. f"* c—
oo,, e- (re"i d /7E.c7E sr (Fr., Conc., r., t
Stories / Dimensions 2 Fir 73''2//7 2-94'2$11- .✓".C`e'-, Total Sq. Ft. 31/'3 Valuation L
Rooms S Baths 27 Basement dChimney Fireplace
Foundation Const.. �h G/� G
Full, t none 1� / (Kin ) (Number
Heat. Systemic?eesl4/' - Typof Roofing C ` -Clad&Ext. Finish 5174:* Int. Wall Finish�r�r�crrlC'f -" i
Use of Bldg. .5),e q/� �PS',` Er c Gc�rct Z�� e 9,-- (�' 1,(..cl.z.h 2.;x No. of Units_Bedrooms
6,7
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.
NORTHSIDENTI — COMMERCIAL State License No.
1,0 223-0/-4.----1*0-2S1 -47
Ind. Ins. Acct. No.
277,290
REQUIRED7— /
Plumbing Permitif— Z-2
m Heating Permit
rn
to Vitfri---` N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert' inf oration ubmitted is correct and there are no other structures located on this property except
as shown. --/441.1 ,<.'0- /'� /PI' 7 C
Ow er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMEN ES.
THIS IS NOT A PERMIT.
6-.4,4_, DO NOT WRITE BELOW THIS LINE
Your street address will be / e. 9/ 7 -01 '-- 7"
C The zone i> /—L.. .E;;�
Sewage Pe t umber Issued Bu ding Perm art\ c yt Receipt 70S-74,' Issued
I n, !'�r- Remarks _ ��,��_ U,, -�-r _ / — AL ,_
Form 523 Bldg. Code
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