1975, 12-17 Permit App: L2316 ResidenceCounty of SpokanegWashingfon' / a a7
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
ream= REQUIRED. A lana use or structure permit is required by County Resolution to erect a building or structure of °� rP'
kind or alter any building or structure already erected, or to change a land use. Construction must conform wttp�le
spo ne County Building Code and Zoning Ordinance. Construction is subject to inspection.
. Water supply must be approved by the County and State Health Departments. Where work ouwater 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 F sM PROPERTY a(5' side yard, 15' side yardr fromtacflank ngnstreet, saanndbaac25' rearhyard arronte requiredline, of at
least 25' is required,
STATE HIOHWAY6. 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.
mOYING OP BOILDINGS. 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
Address /i '27 - 2 -•- - Phone 9z9-'96 z—
Address 910/ L Phone
Address Phone
Address
Name of Owner
Architect
Engineer
Contractor C A /71-P
Legal Description of Property (Giv
plate description from deed,c recipt. etc.)
DESCRIPTION OF WORK:® Addition
Size of Lot /12 x/40 )(poo ne 90
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System S,,A Const Ftp
IF , Con Br.. etc.)
,2 9 o, a �a II Total Sq Ft 3 [) Valuation 4 A Offl
oa
I SG
Ade Chimney iAK' Fireplace eZ
(Kind) (Number
Int Wall Finish de," anti/
Stories �cDimensions %
Rooms � Baths ' Basement 30 9 Foundation Const.
F4
—frill. pert, nano) ////'' �
Heat. System F4 (hit Type of Roofing 5/1 Ark. Ext Finish
Use of Bldg. Sr F W/'t 9* c . Q./
No of Units.) Bedrooms_
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; (5) location of sewage sys
tem and water supply lines.
m
to
H
NORTH
RESIDENTIAL - COMMERCIAL
See PA MAr)•
I hereb
as shown
fon
SOUTH
ed is correc
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures locatedQn this property except
/ �1i6'
Owner or Agent D e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6,. "'ILA siia
1 �/ DO NOT WRIIT�TEEI BELOW
THIS LINE
Your street address will bet I' 92 - Y' '/ '271( A•w
L✓r��j The zone is
Sewage Permit Number Issued Building Permit CL 'c�,j/(, Receipt /L GTI Issued
Remarks
Form 323 Bldg. Code
P o4cLr- `7"(03
PORTER ENTERPRISES. INC.
General Contractors
SOUTH 2616 BLAKE ROAD
PHONE 928-1962 SPOKANE, WARM. 99216
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