1976, 04-05 Permit App: L3222 Residence(pi
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201 stj"�
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 erecta building or structure of any
MU kind or alter ebuilding 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 41235.
SET -BACK FROM PROPERTY LING. 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 OP 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.
•
Canty of Spokane. Washgfon
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Nash', /N . (4-14dr Address
.ae 2tt& l'ad (fl
Phone 5241-746 7
Architect Address Phone
EngineerAje Address Phone
Contractor &./2444B Addresse
Legal DescriptionofProperty (Give complete description from deed, tax receipt, etc.) /L.iPO 'i�•%3 _9/0 0 ,1
W, t '7 ,..36..S" r/s „erre /74 -Sr* r'7 se- -#:: *SW t .Exc :o'L--Rn CM/73
Size of Lot Q!} X / DESCRIPTION OF WORK: New/ x Addition Rer9odel Moving Bld Zon -
Sewage
oma
'.i T Sewage System L Const
r.. Conc.. r., etc. d
Stories -./..--Dimensions '— d • Total Sq Ft / Valuation be
Rooms Baths Basement - - %i •.ndation Const. ���'m�w/ Chimne�� Fireplai
'',,nn Th, part, none Wall Fin (N t3hern Q
Heat. Syst9 . tini T[yp�e of.Regofing e ,q�O�/,.pp EGt Finish Int Finish %V (x
Use of Bld if/AM rad_ a,ZI.Qi�-, `. - ' l .Li No of Units _Bedrooms 3
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
RESIDENTIAL} COMMERCIAL
SOUTH / i
as show
I h ert y Information submitted is correct and there are no other stru
er or Agen
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(¢M ilia Al.,0 DO NOT WRITE BELOW THIS LINE
State License No.
Oki o n/ ,C/j-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
actures located on this property except
Date
CONSTRUCTION COMMENCES.
Your street address x111 be //id) -5- e 1vA 7q me zone is ( a/
Sewage Permit Number Issued Building Permit o(3 a} -"Receipt 0.07 Issued
Remarks
Form 523 Bldg. Code