1976, 08-25 Permit App: L5247 ResidenceCc my of Spokane, Wash>rrigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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.
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.
TATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
.IS
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 St to
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 L . ` E
Name of Owner
Architect
Engineer
Contractor
.�Pvm-tom
Address a ---4d —"AL -_ Phone /<W ice" -z1 i c5's
Address Phone
Address Phone
Address Phone
Legal'escription of Property (Give complete description from deed, tax recei
, etc.)
st
DESCRIPTION OF WORK: New V
Size of Lot r./3. 3 L A 3C?,
Stories __Dimensions = k -,2(F
Rooms fv Baths Basement
Full,Full
t �{ , part, no
Heat. System cat . .f'. , Type of Roofing �.-4 dy Ext. Finish
Use of Bldg.1-z, 2 z Y ,/24-,., f(=c—(1 :fir
%*diS7•-1..
44J
Addition
$4i.33/ p.' .�'. 443o
Remodel
Moving Bldg. Zone / Fire ne y
Sewage Systemonst.ds
Fr., C nc., Br., etc.)
Total Sq. Ft •// CV, Valuation %SCS
Foundation Const.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem nd water supply lines.
NORTH
ct (LJ
PLOT PLAN
Chimney irepiace
(Kin) (Number
Int. Wall Finish C44,--r-tel
No. of Units _ Bedrlioms -�
property lines; (2) street or rddd locations; ('Y location of existink and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
--G1/ - / Sl 3 .(
Ind. Ins. Acct. No.
V3gS �pS
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informat' n submitted is correct and there are no other structures located on this property except
as shown.
7-.25- 74,
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-AL,74/40 DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is /jiC J
Sewage Perini Number Issued
.�� Building Permit z '/ 2 Receipt o?7 �' Issued
Remarks .- J2 .(. t ie.' /G t ,(t /, i! - 71 t
Form 523 Bldg. Code
CERTIFICATE
I certify that I have surveyed and staked the following parcels:
The east 143.33 feet of the north 304 feet of Tract 215 of VERA.
The west 143.34 feet of the east 286.67 feet of the north 304
feet of Tract 215 of VERA.
The west 143.33 feet of the east 430 feet of the north 304 feet
of Tract 215 of VERA.
D & 0 Building
Route 7
Spokane 99206
August 10, 19.76
143.33'
143.33'
V. QGE E CAMERON
Professional Land Surveyor
nal Lan
Z4TH AVENUE
1¢3.$4
143.34'
7; -?-4=16-7- 2/5
(43.33'