1977, 03-28 Permit Application: M0323 Residence w/Attached GarageCounty of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE _$ pia`
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
Name of Owner >>'�L� `/ �M5✓ £ -
) Address
Architect !_ i 5C1J7 Address
Engineer Address
Contractor Address - Ph
Legal /Descri on of Property (Give /complete description from x receipt, tc) JIM. 4 , Ar
-1.-ez -l-E'_ ' ,? , -, '/ '/ / _3 0 .
9�F
es
Phone
Phone
Phone
DESCRIPTION OF WORK: New y/1 Addition Remodel Moving Bld Zone / Fire Zone �.
Sewage System 1 c.- Const. ✓°ZHL�
(Fr., Conc., B . etc.) •
Stories Dimensions _2 � %� Total Sq. Ft i5 3 Valuation C' ' CV `S
7
Rooms / Baths Basement Foundation Const Chimney Fireplac
(Full, part, none /� �_ (Kind) (Nu ber
Heat. System .���' L Type of Roofing C i- Ext. Finish / /1/ Int. Wall Finish CG �•i%�le i el
No. of Units _ Bedrooms
Size of Lot ;/ l At /30
Use of Bldg. oVernc- O)
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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
RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby certify ip .foymation submitted is correct and there are no other structures located on this property except
as shown.
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Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
CvYt Cy 15-
Date
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
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Building Permit � L .""3 Receipt_ / 7(1 Issued
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