1976, 12-28 Permit: L6656 ResidenceSy of Spokane, Wash
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE,
APPROVED As NOTED
Spokane County Bldg. od: De.t
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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PERMIT REQUIRED. A land use or structure permit is required by County Resolution to.erect a building or s 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
Higbkay, clearance must be obtained from the County Engineer and/or State Highway Department. .
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
R'STRICTIVE 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
Name of Owner • . ./— � Address - . . /.Z • al Phone _ . 29'/,9'
Architect Address Phone
Engineer Address Phone
Contractor , -Address — Phone
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4.
Legal Description of Property (Give complete descri tion frym deed. tax receipt etc
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DESCRIPTION OF WORK: New � Addition Remodel
Size of Lot F/, HO .X l i n
Moving
Bldg. Zone Fire Zone -3
Sewage System S- 'T- ont/ Q' �—
(Fr.,sConc., r., etc.)
Total Sq Ft /ga� Valuation
Chimney Fireplace
d
(Kind) umber
Int Wall Finish00—g--1-1/11
No of Units Bedroom. 3
Stories / Dimensw/rr/11s r Y., -,57-e/ O.0.IM
. L8JD.
Rooms :� Baths i72 Basement rr Foundation Const
/, (Fu(I. part, non
Heat. System.4.4 .L/( Type of Roofing EJ(t. Finish'///
Use of Bldg. �y.,� n� re�a Ol.�r../C/JJ
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.
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N
NORTH
RESIDENTIAL — COMMERCIAL
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SOUTH
I hereby certify information submitted is co
as shown.
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State Lic s' No.
Ind. Ins. Acct. No.
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:7/77
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rect and there are no other structures located.on this property except
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ner or Agent Datl
A LAND USE OR STRUCTURE PERMIT ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT
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Your street address will be�
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Sewage Permit Number -- slued Building Permit
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Remarks .66* ._>
DO NOT WRITE BELOW THIS LINE
The zone
Receipt
Form 523 Blda. Code