1978, 03-22 Permit App: M5454 Residencec
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N;811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR' LAND USE OR STRUCTURE PERMIT 4 -
GENERAL REQUIREMENTS PERMIT FEE._) G
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 47.235.
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 LINE
Name of Owner /DM in 0 A-5.5 cerdATf,S Addrese /D/S( A) P/n'i5 Phone 9a2-00 G.
Architect
Engineer Address Phone
Contractor beer) t._J= l'oi,i 67/ZQ T/Onl Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax
0 L
receipt, e .1 ParcelNumber fr tf. /Y.1-42 - 10.Z 3
-L
DESCRIPTION OF WORK: New
Size of Lot
Stories I Dimensions
K Addition Remodel
4,O,('' ea
e2bx90 -r SIX'/0
Rooms B Baths. Z- BasementT , OD Foundation Const
(Pull, part, none
Heat. System FA Type of Roofing e_Cke1P Ext. Finish
Use of Bldg. 4.Q-51Cris f)a-L W ITIS 14 -JT, GA24est
Moving
Sewage System
Total Sq
GOrvr , a
pro
tem
1
T (11
2
PLOT PLANatt
Bldg. Zone Fire Zone
i tpri L Const. Cie ,
(Fr., Conc., Br., etc.)
�
Ft / 9 Valuation ISO ADO
Chimney �_,q(Kind) Fireplacee-t
1 1 Number, n
Int Wall Finish (•)m.9 r
No of Units+Bedrooms 3
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
N
firirilt/7
SOUTH
I hereby certify nformation submitted Is correct and there
as shown.
Owner or Agent
State License No.
Wooer G 2j-to4
Ind. Ins. Acct. No.
- COMMERCIAL
REQUIRED
Plumbing Permit /55/0.1
w Heating Permit S ma 44,1
ta Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
3—Zz-9g
Date
A LAND USE OR STRUCTURE PERMIT MUST BON THE PREMISES BEFORE CONSTRUCTION. COMMENCES.
THIS IOT A PERMIT. •
0.4 �yLLy4 rt )/ DO GNOT WRITE BELOW THIS LINE
!r& streets address will be c' rya/5" `/,Sam
Sewage Permit/ Issued Building Permit
Remarks rt timer, sir
The zone is
Receipt —k2tre7,2_
Form 523 Bldg. Code
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90'
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900
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