1971, 10-08 Permit App: J0930 Residencefir
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS FERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required !flaunty 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 he obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nes. 45-1333 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -hack fret 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
andNegress.
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 he 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 dedYcations.
APPLICANT FILL IH BELOW THIS LINE 7�4 C
one
Name of Owner
Architect
/
hone
ddress
gineer
4
0
C"'
/
/
Phone
Contractor Address ' Phone �
L al Descr pti n .f notion from deed, tax receipt, etc.))a 2S — `V T"
DESCRIPTION OF WORK: New Addition Remodel Moving �T Bldg. Zone 1
Sewage System Fire Zone "��
Size of Lot '2 0 0 n -. / 5'Q Stories
Const. --4.,.........--4.-
n ete,.,.c Dimensions . ,-..)--2. � Total Sq. Ft. S7' Valuation 544‘.5-00
(FramE, c ncrete, brick etc.)
Rooms Baths �BasemenCoundation Const S Chimney Fireplace
(F 1, part, none) (Number)
(Kind)
. W
Heat. System -I ype of Roofing Ext. Finish ' (�WsLel intall Finish
Use of Bldg. - ��
No. of Units Bedrooms __.
Private Dethtched ,
n
Pro
.erty ive .oink
lete desc
/
i
AP I
Garage or Carport Attached
e
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.
A
Plumbing Permit
AT; Heating Permit
.�,. Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certify informationli submitted is correct and there are no other structures located on is p operty except
as shown. (� ,,Q' [/
\Owner or Agent
Date
USE OR STRUCTURE PERMIT MUS BE ON THE P R EN
A LAND REMISES BEFOR . CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
0
-mss "' • . /1
O NOT
RITE BELOW THIS
Your street address w
Sewage Permit Number
Remarks
Arc
ooh
Issued Buildisa Permit 1)
I t ,
y .sa re, i
The zone 1s
Receipt t ssued
"71
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County of Spokane. Washington 6.—,(�
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 992013mAD"
APPLICATION FOR LAND USE OR STRUCTURE PERMOTS'rQ'
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, oreto 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 eater 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 rom a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts tate Hiepday; c ara 9-d t be obtained
and egress. {{{ pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may y notbe
performed in accordance with stakes. Points of ingress pand oegress must be staked by County Road Department and. work must be
MOVING OF BUILDINGS. AWhen
by the issumoy Engineer.
permit is required to move an existing building.tHhgn a building 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.
PLICANT FILL IN BELOW THIS LINE
Name of owner S k' Aires `��r��
re' /��... Phone
Architect Phone �,
.loser Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
iJ-3/—a3/�
s"-3d/J—
DESCRIPTION OF WORK: New Addition Remodel
Moving Bldg. Zone Fire Zone
Size of Lot
Sewage System Stories
Const. Dimensions Total Sq Ft Valuation
(Frame, concrete, brick, etc.)
Rooms Baths - Basement Foundation Const
(Full, part, none) Chimney Fireplace
(Kind) , (Number)
Heal. System Type of Roofing Ext Finish
Use of Bldg. _s C L, .
-",-'-Garage or Carport +/.peached - '
•
P.O_L_P_LAN
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.
Int. Wall Finish
No. of Units Bedrooms
Private Detatched -
. -4
-4
NORTH
I hereb ce-tify infor
as shown.
SOUTH
d is correct and
1
Agent Date
A LAND USE OR UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Dour street address will be _ , c,5--� l'-� 4.4.4,�.r - 31 ' ,
zoa LI'- ie
Re
Issued
Sewage-Pe'rmit'Number Iss_ue� B lding Per ,
it
WY
Astichisoff
akar
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
re are no other structures located on this property except
Form 523 Bldg. Code
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