1975, 05-23 Permit App: L0202 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6
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GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or ructure 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.
Name of Owner
Architect Address fit., ' e qq /(' Phone
Engineer ���--- Address y Phone _
Contractor .I-4.4, '11
L . At -1-1-C,61--1& -'+-U Address eSJ �i✓,i_ Phone /� 2 r''� -C
Legal Description of Property (Give complete description from deed, tax receipt, etc )./f".:4_4-0 4x-�� Y 2" "/I 1/
h.L r ill i.3 4 (1 '7 ---,-moit L.
APPLICANT FILL IN BELOW THIS LINE
Address 3a0'•
Phone q%Ce---S^ '--6
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot `%' \ 1 - f)
Stories __Dimensions 3 X
J Basement....t.ei
(Full, part, none
Rooms Baths
Heat. Systemr7__f• Typf Roofin l_wZ�f..
Use of Bld •
Moving k
Sewage System
Total Sq
Foundation Const
Bldg. Z—� Firp,Zone
onst -11/ r-�t ? L
(Fr., Conc., Br., etc.),
Feng Valuation /3DOD
Chime y- — Fireplace "---
(Kind)(N/u/mber
..
Int. Wall Finish t L4.
No. of Units _Bedrooms
Ext. Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
I hereby
as showa.-
tify inrmatio
UTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State License No.
AAA'ki-2 1l.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submitted is correct and there are no other structures
'y. < ryRs.c37 y`�'=iL�
Owner or Agent
located on this property except
NI -
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
94'1., 44 A , DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit V 0.2e) aeee-±pt 7 7 4-, Issued
Remarks
.A/.149 0.4,444C2 The zone is m-(„!`,[.l.0i
Lirl.c ei.4A,C4,A44-11-r,-ed
Form 523 Bldg. Code
139 .
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