1978, 11-03 Permit App: N1345 ResidenceCou y of Spokane, Washir ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
NoPERMIT 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
r structure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. Con-
/struction must have inspections.
\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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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 `_ qq 6,
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Address e '/ r �� _ , j..%.: a...: Phone 9 a -,2f'
Name of Owner
Architect
Engineer
Contractor — Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number P7A/-/
Address Phone
Address Phone
C07 /9 Ci LK /
DESCRIPTION OF WORK: New >X Addition Remodel Moving Bld . Zone L Fire Zone
Size of Lot /0 ' -2' Sewage System J'.q i e1
(Fr., Conc., Br., etc.) ,, ,-j
Stories Dimensions .02.,.75.-X;.��T�SL+�
Total Sq. Ft.griQ Valuation L.39/9,-75--4:;-'---
Chimney A/A Fireplace NA.
(Kind) X�((��. (Num, err J/ fJ
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Int. Wall Finish hJ//l/,-GCX _
No. of Units Bedrooms
Rooms Baths_L Basement �. ' Foundation Const. L��rTi,LP J
(Full, part, none)
Type of R ofing Ext. Finish %---///
Heat. Syste
Use of Bldg.
ROADWAY R/W WIDTH
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.
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NORTH
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SOUTH
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State License No.
D K
Ind. Ins. Acct. No.
RESIDENTIAL- DENTI L- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/V3�7 I 444400
I hereby certify " n submitted is correct and there are no other structures located on this property except
shown.
//
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
C51 -w, DO NOT WRITE BELOW THIS LINE
i
Your street address will be CI:/ gq/C/
Sewage Permit Number Issued Building Permit
._V, r/
Remarks
3
The zone is�. ,,it✓ s t
Receipt % fC Issued
Fore, 523 Bldd. Code
TAX SEGREGATION APPLICATION FORM
(Applicable to the division of one or more parcels of real property into
two or more parcels under different ownerships, also applies to
aggregation of parcels.)
NAME e C_ a a, S
ADDRESS A) , 1 3 i 7 3 q
S"
PHONE NUMBER ?2-e"- / 6 Y 7 DATE 3 ..t_,/c) `%/ u J 7 1<
DELINQUENT
TAXES PARCEL NO(S) /7.55—' 0/22..,
I. Enter legal descriptions of all portions to be segregated. Also
include legal description of portions remaining (use supplemental
sheet if needed).
II. Make drawing of entire property. Indicate approximate dimensions
of all property lines. Indicate on which portions of property any
buildings should remain. If a copy of a survey is available, please
attach to this form.
III. This application is to be completed in its entirety before processing.
NOTE: The approval of this application by the County Assessor or his
appointee shall not be construed as authorizing the division of lands for
the purposes of sale or subdivision in violation of RCW 58.17 (Plat and
Subdivision Act). The taxpayer is hereby advised that no segregation
will take place until this form is pmpleted.
Applicant Signature
THIS AREA FOR USE BY APPLICANT FOR LEGAL
DESCRIPTIONS AND DRAWINGS. USE REVERSE SIDE IF
NEEDED.
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BOB DAVIS BUILDERS
E9723 SPRAGUE AVENUE, SPOKANE, WA. 99206
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1000 GALS
10x22 SLAB
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SCALE 1=20
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