1975, 02-20 Permit App: K6820 Residence'1
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Nsw
Cal
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County of Spokane. Washington
8UILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
4/3.
GENERAL REQUIREMENTS PERMIT FEE
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 end State Health Departments. Where work oneater 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 CounfResolut ions 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.
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5a /f,filff APPLICANT FILL 1N BELOW THIS LINE
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Name of Owner
Architect
Engineer
Contractor
6egrA c- ,-5 r' R h A i b Address //40/ -
Phone 926
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Address Phone.
Address Phone
Sjs%f?, p. Address Phone
Legal Description of Property (Give complete description from deed, tax recei•t etc )
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DESCRIPTION OF WORK:: New
Size of Lot 4 T f
Stories Dimensions
Addition
Remodel
Moving
/ 5-r) Sewage System
3U3It /33
Bldg. Zone / Fire 2 e
3
Const.
(Fr., CQ/ Br&,letc.
Total Sq Ft - S Valuation /
Rooms 2 Baths /Basements Foundation Const Fireplace
/' /(Full, part, noneV (Kind) (Number
Heat. System( t 4i- Type of Roofing £ 7' Ext Finish Int Wall Finish �7
No of Units _ Bedrooms d .
Use of Bldg.
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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.
State License No.
Ind. Ina. Acct. No.
a' REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
as sh
50{4 H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(9/14-, ter+' -sir
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
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Your street address will be fa ✓ d-z-vO[..A •(eye
Silage Ptrmit Number Issued /Q 96 Li Building Permit JIWg..0Receipt
zone isK--
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sued
Form 523 Bldg. Ca...t 2 9 . q 7.. /
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print
REQUEST FOR SEGREGATION
Address //a z. a .E
Phone No. 2.2-4 L. C.4 Parcel No. -.2/_r-c___? - S/v 2
Date '2/9/%3-- ARE TAXES PAID? t -C
Enter new legal description (s) desired. Use supplemental sheet if needed.
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'Make drawing of entire property, indicate segregation, show all demensions of
!property lines, show all buildings and indicate distances from property lines.
'If a copy of survey is available attach to this form. Use supplemental sheet
`.Jif needed.
_Cm i_323
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