1977, 04-04 Permit App: M0337 ResidenceII ~
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Canty ,, P as ®f S okane
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIe
GENERAL REQUIREMENTS PERMIT FEE.4 ...............
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta 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.
NATER. 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 _SO '7 !n ✓/-) (!_'� Al- ) IVa— Address ,L—_ 2 Z �[>t ." Ptio. e �'1Z..lo.
Architect Address Phone.
Engineer Address
Contractor <:S 4-h') Address S
one
Leg I Description of Property (Give complete description from deed, tax receipt, etc.) .ct, 77 42
2 K)-z:;a �3 c?h 2 % —e,- 4e hWn hj�) )c:�� h4-- -_%
DESCRIPTION OF WORK: New_ Addition Remodel Moving Bldg. Zone Fire Zone .
Size of Lot DC Sewage System onst r g
. X Br., etc.)
Stories Dimensions _Total Sq. Ft. lr� Valuation
Rooms Baths Basement Gt Foundation Const., apyNG�c Chimney � Fireplace -
Full, part, none (Kind) (Number
Heat. System _G Kd--s Type of Roofing 51�14� Ext. Finish r -�� .Int. Wall Finish
Use of Bldg, -,o, S: �'� !41" l9lo e- 7-77 No. of Units —Bedrooms -7F)
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. r
6eo W IIV— NORTH RESIDENTIAL - COMMERCIAL State License No.
1A
-4
0177.
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Ind. In '. Acct. No.
REQUIRED
Plumbing Permit
A Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here ce tify information submitted is correct and there are no other structures located on this property except
as shown
Owner or Age;t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS KWM PER
DO NOT WRITE BELOW THIS LINE
'sewage
Your street address will be 0 ` The zone is
Permit Number Issued Building Permit ReceiptO412_ Issued
Remarks
Form 523 Bldg. Code_ .
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