1976, 04-01 Permit App: L3205 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
A PLICATION FOR LAND USE OR STRUCTURE PERMIT
t;e ViRAL REQUIREMENTS PERMIT FEE
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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 And
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicatiohs.
APPLICANT FILL IN BELOW THIS LINE %�/ ) t'
/lame of Owner
Architect f 2' C; h S
Contractor N
Address /'l / c 4 ,/ Wit..' 4eit. one 5,,v5,4- 4,6 IL'
Phope/& 9 y;s''' Engineer X'r' Gjei r ci - ;,y S e •� Phone`c.-" �. / .2 !�
Address %`j/G' S 5 Com' (C �'—'"?♦ Phone 9112 y-' ?6
dee tax receipt, etc!)
/(.A(#- -..1`)-44,2 //« f
C i
Legal pescriptionfof Property, {Giv complete des
L! -r -/Iff — /c.1
ion from
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DESCRIPTION OF7VORK: New X Addition
Size of Lot /y„ j C X /3 2 „
Const. /_rj /)7 ( Dimensions X 11 6 kr
(Frame, concrete, brick, etc.)
Rooms - Baths _ __ __ Basement rk // Foundation Const
, `�P' .111, part, none)
'if Type of Roofing
q
Use of Bldg. 'h
, � C� P' X77 I
£�qL ie
r, ri. J...d^,.
Remodel
Moving Blued?. Zone / Fire Zone ••j3
Sewage System =7 /' C74,4 Stories , /
/ Valuation . j/) .fC (7
f' Chimney ireplace 1
(Kind) (Number
nt. Wall Finish
o. of Units / Bedr
e Detntched
Heat. System
Total Sq.
t.
Gariigo nr ('aiporl \tti
he
Ext. Finish,'
Draw sketch wit}( dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines at:d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
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NORTH
I hereby cer
as shown.
SOUTH
fy inf. mation submittfd is correct
and there are
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State License No.
.21,?c%Z gyL
Ind. Ins. Acct. No.
326 /
REQUIREDUI
Plumbing Permit �-'41 r
Heating Permit
Sewage Perini
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structurQs lAcated•on this property except
Agent
Da't e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO RIOT WRITE BELOW THIS
• Your street address will be
Sewage Permit Number Issued
Remarks +t\
Bu
1
e zone is A -"" 7
lding Per ,� ' Receipt c(jj j Issued
J
Form 523 Bldg. Code
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