1976, 04-29 Permit App: L3587 Residencef
/
Canty of Spokane, Wash gton
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 ar 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 Cade and Zoning Ordinance. Construction is subject to inspection.
RATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders ar ditches of Comity 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 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.
^^��
^^ APPLICANT FILL IN BELOW THIS LINE
Name of Owner D'r nzt Edi ns, Tnr Address S '7, 4io 0, +i P Phone . Phone Srair e74 -62.55 -
Architect Address Phone
Engineer Address Phone
Contractor 50 rade. Address Phone
awn... }I+A n4uy-v-906o
Legya�l� Description of Property I ive complete description from deed. tax receipt etc 1
'Ma' -3.3 ase R 4 Ny,A„i CS ids -
DESCRIPTION OF WORK: New -V Addition Remodel Moving Bldg. Zone ---l— Fire Zone 3
Size of Lot x-30 1‘. -2/e5-1 )s AO'A./PS- Sewage System Srroost Fr
l�q 1 tel alit„
Stories / Dimensions n27 M tot /0x19
(alt.
R/Total Sq
Rooms 4_ Baths a Basemente, Foundation Const (JF,P4. ,
TFull. part. nofie, ',re,— -D' '
Heat. Systeme a..JQ UJ Type of Roofing -•-- � f—
nn� Fr. Conc..Br., eta)
FPI" 5-73 Valuational9.5t o
Chinn (Kind, Fireplace(N bar
Int Wall Finish •0t'r-LP
e Y Ext. Finish T/ -/f
Use of Bldg. 44211/2.11-444K4 t. ,..�, -t�uo, —
PLOT PLAN
No of Units_ Bedrooms eS
ataa u,k4-
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
CEIDENTIAL3 COMMERCIAL
L0
N
State License No.
07.23- of -a/$37
Ind. Ins. Acct. No.
ys, s8s
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify inSormation submitted is correct and there are no other structures located on this property except
as shown.
.Il?�vr4g.
Owner ar Agent
y q/76
ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT. <.r/
DO NOT WRITE BELOW THIS LINE
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Tour street address will be E // 4 2 2 4'6 fV _l.y U,n..W The zone is =y
Sewage Permit Number reed Building Permit.3,577 Receipt -3 3<L1 Issued -
Remarks /
Form 523 Bldg. Code