1976, 06-17 Permit App: L4378 ResidenceCALLof Spokane, Was ton
Y P � 9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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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 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.
NATER. Nater 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.
YESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the(4and
hich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicatioys.
APPLICANT FILL IN BELOW THIS LINE C`Cl- 2L•
Name of Owner T Address F 3 7r e 14 - a Ph 2143
Architect Address
Engineer Address
Contractor w ... Address
Legal DesGripti of0per y (Giye�cymplete descry tiar from deed,
tax receipt,
one
Phone
Phone
Phone
DESCRIPTION OFl WORK: New � Addition Remodel Moving Bldg. Zone ` Fire 4We
Si�ft / !� (�%/: S li -.Sewage System S� onst.FFr.,Conc.,,/r.,,etcDimensi ns � � X � y Total Sq. Ft. -1l0 Valuation "� C6d-do
1 Chimney Fireplac�
Rooms Baths Basement �a Foundation Const. Cor r
Full, part, none) Y (Kind) (Numbfr
Heat. System Type of Roofing S /� d /C�° Ext. Finish T��/ Int. Wall Finish I
Use of Bldg. en tia 6::d ✓ �No. off Units —Bedrooms
PLOT PLAN I .,,r Z�
Draw sketch with dimensions showing: (1) property lines; (2) re 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-
nd water supply lines.
NORTH RESIDENTIAL — COMMERCIAL State License No.
2.23-0 / -/79 41-
Ind. Ins. Acct. No.
SIJ
Se' e 14 HJ C -L d REQUIRED
Plumbing Permit -- 5'..,,
SIG
m
V
X
� rn Heating Permit J., i T A
N N Sewage Permit ." / ke
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.�2 t ; / ,____.. e /T 7 (
Owner or Agent Date : Y
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
&,, 314a,A- 11b DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
V_ [13-3 G'1A_ r'..J-
1 //d -
Issued
Building Permit
The zone is (, -� -
Receipt//! / issued
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