1979, 04-13 Permit App: N2709 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .__/__yy
6•
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 mast 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 INET �-/G'
Address , 11&71A -A /.L/t�lvli v 'hone
Address / Phone
Address /I Phone -
Address
Name of Owner
Architect
Engineer
Contractor
Legal Descr
3539
tion of Property (Give complete description from deed, tax receipt, etc ►
2/
3
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eoXY
DESCRIPTION OF WORK: New "' /Additjpn
��
Size of L7
Stories Dimensions
Rooms I Baths / Base
/ (Ail par�t,n
Use of Bldg.
/2 8X/4
pa
Remodel
Moving Bld
Sewage System
Foundation Const
Heat. Systeme of Roofing
0
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
Zong Fire
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Ft /
Chimne
(Kind
E Fini
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onst.
Fr., Conc r
Valuation ---
Fireplace if
Int. Wall Finish
No. of Units_ Bedroom
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-
RESIDENTIAL — COMMERCIAL
SOUTH
I here,y certify informatj4on submitted
as sh'^ n.1
m
tn
-i
Ind. Ins. 't. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
//G/24 n4444/0
is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-/3-7
014 e� Q/ DO NOT ITE BELOW THIS LINE ,�
Your
Gstreet address will be /7/Ll� ��% /��The zone is �J` �_"el
Sewage Permit Number Issued Building Permit V-2_70 `7 Receipt U Issued
Remarks
Form 523 Bldg. Code
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