1975, 06-05 Permit App: L0332 ResidenceCounty of Spokane. Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 47-255.
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
Architect
Contractor
ddress
& Phone Engineer Phone
Address Phone
Legal De rapt on of Property (Give complet4e�cr/gn iptifrom ee ..t�gx,rece�t, c _
2-07' ce
F i -e f ace 17m`4 4/ do r.7da
DESCRIPTION OF WORK: New ✓ Addition
Remodel r� Moving
�,P.
Bldg. Zn. Fire Zn Size of Lot X Zia Sewage S stem S I IT)V Yr Stories 1
�� (SEPTIC TANA.ETC.1
Construction • �� Dimensions X24 :It/Total Sq. Ft. Valuation 0001(FRAM ,jO 7° -Basement '-E.BNICN.ET ��]�' ili�
Rooms ` Basement ) Foundation Const. ' € Chimney enlace ;4".1.t gSys. Fuel Fly' C�
(POLL.PART.MOME) (NI OI (W.,AIR,STEAM,ETCC 11
Garage Attached ( 62)rg�
J Type of RoofinW Ext. Finish/4166d Int. Wall Finish 1)y'a/ %/`
(COMPOSITIO 811INOLE,ETC.1 (SN.,META L, S NA REI (PLASTER,ORYWALL.ETC.)
ems -
Use of Bldg. 2 e adJEW a No. of Families Miscellaneous
PLOT PLAN
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Draw sketch with dimensions showing: (1) property lines; (2) street or oad locati (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.
NORTH
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State License No.
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Ino. Ins. Acct. No.
277 "--ef'
REQUIRED
Plumbing Perm „,7n 97e,
Heating Permit
Sewage Permit
rmation submit is correct and there are no other structures locat
ne or Agent
Date
on th' property except
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RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT WRITE BELOW THIS LINE
Your street address will be(G(��1.+-ti.� ` I The zone is
i
Sewage Permit Number IssuedBui ding Permit43_Receipt �isued
Remarks
Form 523 Bldg. Code
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