1976, 04-26 Permit App: L3634 Residence1 1
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT . o
!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 BUILDING. 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 6/67„9-��
Name of Owner 4 /C- S Y 4s-4-0 c•... Address sCe, •-'2 6 /"4" g0 Phone lip -7-A
Architect Address „Si) duke -7\-C- Phone
Engineer Address Phone
Contractor S-4/1.44 - Address Phone
QIO'-k y
Legal Description of Property (Givecompletedescription from deed, tax receipt,
112 0.11 �s,iQrZ r- 6
nnizr76,iv Off' '/- 24/ -S/4/ -
etc )
.Cor- 'j'—
DESCRIPTION OF WORK: New X Addition
Size of Lot /Q%i F (o /477710 AWL b
Stories / Dimensions -ACV 2,1
Rooms Baths 7' BasementZ i- Foundation
(Full, part, none ,{,,)� I.L. G.0
Heat. System AA EL.CC__ Type of Roofing/ Se S14004. I--
Use
140 eI-
Use of Bldg. gL.iD44'e 1 Gi/iDC'CI,d"i,l ,177)=1C/s/L,j —
Remodel
' /1 J �o
Const
Moving Bldg. Zone 1 Fire Zone
Sewage System St /077C cpnst "12/9444 " `
(Fr., Conc., Br., etc.)
Total Sq. Ft. 176 Valuation are),
Ch i mne
G'Gyc.zt yMK dFireplace(Num
Ext. Finish pie. n.iL Int. Wall Finish/,le)/`=/pL 4--
No.
`No. of Units _Bedrooms —7
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage
tem and water supply lines.
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NORTH
j" � _/ G State T.i cwn ca Nn_
L i`G. j t t✓C / t
7772‹ t/CD
SOUTH
I hereby certify information submitted is correct and
as shown.
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and
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit�.1 ff 4B '/7Z -Heating Permit rE Tis Cgwov atc/y j
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Dae
CONSTRUCTION COMMENCES.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
-7444441)
Your street address will be
DO NOT WRITE BELOW THIS LINE
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Sewage Permit Number Issued Building Permit
The zone is/ v /'
Receipt e� vi g- Issued
Remarks
/t ')" f' (_,,.
Form 523 Bldg. Code
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