1977, 11-06 Permit App: M4151 Residence T
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64/t a 9 e a 9 y Spoken , : Bldg. Code Dept.
County of Spokane, Washin I , , r
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, ''gin' =-70 �
D
APPLICATION FOR LAND USE OR STRUC ' • �w cii,
GENERAL REQUIREMENTS PERMIT FEE iy
PERMIT REQUIRE. 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.
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 laud
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 Owner461'e ebn)S LRu iAddress C) C°h S C'C. +. Phone G 01.41-°58
Architect i f.1rrv'� " (3 r 1., HtS-e Address - I111 iN1D� jAvm gix16 Phone T2 '/ 6 2e
Engineer Z. 'A /41'0;4'0;4/ 12/PA/ .Nr Address 9 S6'4 /J11 Phone 90l e—17-S4
Contractor CA r-,' Address 4 1k,= G°' C.b' STS`r-) C; : Phone <v 14 -65 $
Legal Description of Property (Give complete description from deed, tax receipt,etc.) Parcel Number o'Z-‘-.5-1-/"?..—X5'7
h. t 1 410(-K 5 fipl y Ofiw.) A d/Ct(cP)
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone ' 1.
Size of Lot lig' 1 -51 R- F'
Sewage Syktecti c�JAtC Q f Const. RAM e
_,r�' �� kSZ -2 f y<r; � (Fr., Conc., Br., etc.).,®
Stories-lrvrDimensions, d.. 3 X 3� --+emsgri ef�i � � Gs6y 7.70x1 Sq. Ft� Valuation �iffni0
Rooms 7 Baths Basement undation Const. CZf.)CRe%C Chimney /��A".i�_ FireplaceNg'il"'
(Foil, part, none tre (Kind)
Heat. System Cie,: F:� Type of Roofing u) t o C 1"fl Ext. Finish A✓ft- " '/ rAR-'i tt
. Wall Finish Gyp Si rl bet`hRk.
Use of Bldg. 11 e-' i zQN,v w e " ci__V r".._J ,• = Units Bedrooms 3 PLOT PLAN a> o
Draw sketch with dimensions showing: (1) property lines; (2) street or road loca 3aris; (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.
NORTHState License No.
4; o.Z3-01 -AS./J' C 13110G f/nrj
Ind. Ins. Acct. No.
.324- 761'-01
rit!� ESIDENTIA -COMMERCIAL
1) REQUIRED
^ ! ' Plumbing Permit
110..i-
t
m
in Heating Permit
to NSewage Permit
mi p,
f
� Plans Received
SL/ Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0 Pr a..,CR thli.i It 1 7i'
,4 UJnkc"rz Stal SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. ., , / J ///C/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE,>
THIS LINE
Tour street address will be /4/4.06,23 a--or) 7 �" ��, ��
Sewage Permit Number The zone is
g Issued Building Permit , /37 Receipt d - Iss.(d
Remarks I
Form 523 Bldg. Code
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