1976, 06-15 Permit App: L4338 ResidenceCctty of Spokane, Washikton ego &ad -
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201dCescrdw-
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT F
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or saay
kind or alter any building or structure already erected, or to change a land use. Construction most 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 land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
n APPLICCNLFILL IN BELOW THIS LINE
Name of Owne
Architect
Engineer
Contractor
Legal Description of Pro. arty (Give c
Address../ / C� (;p 44et Phone �T?'/— 7`/6)
Address - 4 Y 2-0 6 Phone
Address Phone
Address Phone
ov
plate descriy ion from deed. tax , ceiptetc I .�
—
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot p0 Y••• lam`
yy� r,
Stories / Dimensiensot%/(
Roans 441 B^nathst& Basemen[ Foundation xxxtssron Const
art, no
Heat. System V (F� Type of Roofin//////��t��t��-��-Ex
Use of Bldg.t
` -�4 .f .. L
Moving Bldg/ Zoo Fire
1B.
Sewage System Irl' t'% Const
C' (Fr.,
Total Sq Ft. / 9 p r}Valuatior
Chimney Fireplace
—/—
(Kind) I mbar
t. Finish riW Int Wall Finish
m--Q�
^
No of Units _Bedrooms
a"'"`"""7LOT PLAN
Draw sketch wit imensions" showing: (I) property lines; (2) street or road locations; (3) location of existing and
noosed buildings; 4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
and water supply lines.
NORTH / G( RESIDENTIAL — COMMERCIAL
SOU TH
State License No.
Ind. Ins. Acct. No.
REQUIRED Jr'ng Penult.Lw—J
Heating Permit
ysr Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her car ify inf rmation submitted is correct and there are no other structures located on thi property except
.,Owner o Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
671c 7q<a,ly.Wl/ / 7DO NOT WRITE BELOW �[THIS LINE
Your street address will be 1/ 11 / c T` ( cl
me zone is
Sewage Permit Number Issued Building Permi y Receipt ., —
Remr ar 7. _ , — o.
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4- eteQ 6/11 yr
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Form 523 Bldg. C