1978, 03-15 Permit App: M5282 AdditionAPPROVED AS NOTED
Spokane County Bldg. Code Dept.
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GENERAL RE
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County of Spokane, Washington
DES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
TION FOR LAND USE OR STRUCTURE PERMI a%
I R E M E N T S PERMIT FE I�
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 beapproved 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 witb the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
�e APPLICANT FILL IN BELOW THIS LINE qq
Name of Owner Sot OSS Address f/3 Yrs C:711/7947) Phone 4/135
Architect Address Phone
Engineer Address Phone
Contractor O I U N& IQ Address Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number /554/1 — OJ
/OTs &Ctzk 7 c-- 6/7 Rs u4tE.////.lv /4-
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ROADWAY R/W WIDTR
DESCRIPTION OF WORK: New Addition
Size of Lot � Z S X
Stories 9 Dimensi
•
Rooms Baths
Heat. System
Use of Bldg.
fy„.
(11Remodel
Moving Bldg. Zone
Sewage System �� Const.
Fr., Co,..
Total Sq Ft - alu.
���� • Chimney Fireplace
� ��//L�pp�� (Kind) ((/u/mber,
Ext. Finish 2-41-P Int Wall Finish P 7 i(/
abAp/9 6 a H. No of Units Bedrooms �
cx�
asement .A}�LY�_ Foundation Const
I. pert. none)
/ »Type of Rogfin
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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I hereby ertify information subs" ted is correct and there are
s• own.
- COMMERCIAL
Plumbing Permit
n o Heating Permit
to ▪ Sewage Permit
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no other structures located on this property except
3 -Is -7,e
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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Owner or A: nt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS' NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE .r2-
Tour
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Tour street address will be ti 3 ya S CN2Gi) n The zone 15 6601/Issued
Sewage Permit Number Issued Building Permit Receipt ul01 Issued
Remarks
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Form 523 Bldg. Code