1976, 12-06 Permit App: L6433 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
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PERMIT FEE
GENERAL REQUIREMENTS
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 land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
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Name of Owner _ / �+'/ r �- Address n � 3 �• / .Phone
Architect Address %moo /"-AY ,01!_ � 1 /-' e %..-,/'2 Phone '7'7-2 -,5-5-,k5-
Engineer Address e3p .35--
Phone
Contractor 5 9 6 Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc
.�e'T P /3/O cam% S— E---0 7? p5 T /7-e, c/ iii S
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot /4042 .21\6 -
Stories _Dimensions , F X .7 4.
Rooms Baths aZ Basement // Foundation Const ��� -ie
(Full, part, none
Heat. System C, /i, Type of Roofing 5 Li ,-ik t Ext. Finish
Moving Bldg. Zone�/ Fire Zone
Sewage System SQ7✓!/ e.-
Const. .052
(Fr., Conc., Br., etc.) ac.
Total Sq. Ft a (O -7 Valuation ( , bcio
Chimney J(Kind) / Fireplace
(Number
Lir vaa/ Int. Wall Finish /7i')/la.57//
Use of Bldg. 1-7u ,V7 .+ N /� 7 /1, e • 14 -.4 -
No. of Units g Bedrooms
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.
m
NORTH
RESIDENTIAL - COMMERCIAL
I hereby ce
as shown. /
SOUTH
icy information submi ted is correct and there are no
Date
A LAND Ut OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
:1; -/mom .7441 /s t , DO NOT WRITE BELOW THIS LINE
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0 �/D % /C C- �/n /I7 A v'cf?��,i 1�('� v� The zone is
Issued Building Permit Receipt .L1441 Issued
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Sewage Permit C J¢/`f A/C
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit /7 /coo <, c%.1' i
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
Owner or Agent
Your street address will be
Sewage Permit Number
Remarks
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