1971, 02-22 Permit App: I3518 Residence0
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County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT oO
GENERAL REQUIREMENTS PERMIT FEE 4-/g
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. Nefstr tion must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by e ounty and Stafe iealtb 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
t _
ddress // '5trte. Sp /P47....• 2= Phone 4469..<-7 /
Architect .B/¢/s
Engineer Phone
Contractor F94Kw'fER Address / -"0 a -` / ' ` _ one
Legal Description of Property (Give complete
IaT r 5A 0Ck5 Sm - t.ctEies 4.4'T abediv4/en 044' Ity /7r//
.2.25-44- 063/
Remodel Moving Bldg. Zone _! Fire Zone
Sewage System .SA'_ P J i ed. Stories 1. --
Const. Dimensions .3 6f
X3-6 L � X7 2 - Total Sq. Fca44— 71flat Valuation ^ltaoa
(Frame, c cre e, brick, etc.) C� S-3 / L ,/
Rooms Baths ' Basement rf}' Foundation Const Cd O-�'C' e1-T'Is Chimney NB Fireplace
(Full, part, none) - (Kind) (Number)
Heat. System £(4 EC Type of Roofing �5' Ext inish I"/ -/ i Int. Wall Finish Dirt (4/4 //
Use of Bldg. erc /e//= -r/ 6 IE. ¢z % No. of Units 1 Bedrooms
description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New X Addition
Size of Lot /.2 / 3 Li, $4 �
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.
en
en
N
NORTH
4 -7 -7 -Ached
I° X o -r ,
State License No.
)a3 -0,_l2cJo.�
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit �/F Ar'.Sn.r/
Heating Permit 4 S 4a0" S -
7p Sewage Permit 44 / fr /'L
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
as
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
,,-I\ `0v1ctiP �j y5am/
Your street address will be- Spr,,., / 4 4 {i/ P- The zone is
Sewage Permit Number Issued Building Permit 9-3.J7/Receipt
DO NOT WRITE BELOW THIS LINE
Remarks
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Form 523 Bldg. Code
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