1975, 02-19 Permit App: K6748 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT C/
GENERAL REQUIREMENTS PERMIT FEE... 10
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
Architect
Engineer
Contractor `�=�' .�J-*t-7LP �e.e' 2t
Address
Address
Address >
Address /&'% �Ci'i!-Cr..a
.7
Legal Description of Property'(Give complete description from deed, tax receipt etc ) -
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Phone
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Phone
Phone 57raCd 7-P,,f'—
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DESCRIPTION OF WORK: New Addition Remodel
/ OC7 X e
Size of Lot
Moving Bldg..' Zone M,f" Fire Zon
_L�.yes- ss�-
Sewage System �et,Fonst.
✓ Fr., C
Stories / Dimensions 7' Total Sq Ft errarrVa
Rooms .✓r Baths / Basement ef'7-Foundation Const n-rerr ✓' i ,- - Chimney...i t r F' I
uep ace
(Full, part, - (Kind) (
Heat. System,_ s .Type of Roof' g g-en-iz�✓- Ext Finish ,gidefe-si. Int Wall Finish ��-�'
Use of Bldg. .��ipr?/I��pL
/ av6P , c t -1No of Units 7.4/Bedrooms
Br., etc.)
ce-
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Number
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OT PLAN .� C
PL
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aw sketch with dimensions showing: (1) property lines; (2) street or road locations, of ex fa6-i , and
osed 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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SOUTH
y informatio 1 1tted is correct and
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS N
State License No.
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
07/1Y
•
Date
CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE 7, /3,L0.&S ,
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ing Permit / Receipt 29 Issued
716 %ye
Your street addiess w111 be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
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