1978, 08-29 Permit App M0321 Addition to ResidencekPPROVED AS NOTED
rpokane County Bldg. Code Dept
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GENERAL
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County of Spokane, Washington
ODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
(CATION FOR LAND USE OR STRUCTURE PERMIT
REQUIREMENTS PERMIT FEE (4'43 2---
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.
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.
APPLICANT FILL IN BELOW THIS LINE UKEelvAcRCH61/._
Name of Owner A E.lz Y P A1'16OVE___ Address N I7)) FLL ?.A Phone d/z-8- /46O
Architect Address Phone
Engineer Address Phone
Contractor 2. f N'OUf Address N 1711 FLO RA `rteslfo phone `723-/f{60
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number __4504_j2. 'f ` a 1 17
N £ it 6 A c- �e s bri ck, 3 - I Pjs r�
Pr1i'ZU^Y P'W OF 3
DESCRIPTION WORK: New Addition X Remodel Moving BEd9 Zone �— Fire Zone
FPJ�M
Size of Lot 1/ AGR J Sewage System St Tjt �FrnsConc., Br., etc.)
Stories ._Dimensions 2n i X 3.2. Total Sq. Ft, 440 Valuation 13f 0
Rooms _ Baths NPc Basement J`1eNr- Foundation Const GCN C12.. t-E Chimney 1 }T ' -hreplace l MF L--
(Full, part, none! (Kind) (Number
Heat. System fljST OIL FA Type of Roofing GO(VIi°bSIT10N Ext. Finish G:,E'I)A& Int. Wall Finish J?ryttl/k1-.1.-
Use of Bldg. ADorrinnt OF Ljf1JJ16 RtTUj�A .DiN1�G��K\ 4 1C(R:1 -P TO No. of Units _Bedrooms ALA.
/ 4FX13774t-kg gr_spE44c1L,
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; (6) location of sewage sys-
tem and water supply lines.
NORTH
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ADornoN
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erebyJcer..ify infma
Owner or Agent
State License No.
otg
Ind. Ins. Acct. No.
RESIDENT
L - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ica 91 /7
ubmitted is cot and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
The zone is A6 CGIL-TLC
Sewage Permit Number Issued Building Permit // I- Receipt..?c e 4 Issued
Remarks
Tour street address will be J�/• 1"71/
Form 523 Bldg, Code