1976, 07-08 Permit App: L4618 Residence-Voidfry
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Cu' anty ®f Spokane® as E>ngt®n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT/� 0110GENERAL REQUIREMENTS PERMIT FEE---rP/-_moi
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or s1�ttrru_cture of any
kind or alter any building or and
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 rest 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
Il
Name of Owner �tS AS`T.4P_ 0101-_� Address Phone
Architect Address Phone.
Engineer Address Phone
Contractor AS 7'A -K Q0 R Address � 93 DO f- i e -"T Phone_-244'zmaz.
Legal Description of Property (Give comploe description from deed, tax receipt, etc.)
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.Lb,7-R�.ls' I-1>4RCy E_CrAIES
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone _ Fire Zone 3
Size of Lot f 9a • V oZ 78 X /'2O, 9 Sewage System _'SE
nst. F'RA / IF
Stories �Dimensions s0X �O o•c_S��/4Ca 2x6//, Pr., Conc., Br,., etc
.
Total S4• Ft.Valuation
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Rooms -7— BathsBasement f* Foundation Const.. <ZJ/Vtti Chimney /r1 0 ireplace
Full, part, none) (Kind) (Number
Heat. SystemECCCG Ed-, Type of Roofing CEt?A-k-ext. Finish 1 IN Int. Wall Finish 22EE I -
Use of Bldg. gcaS / pt ---A) -n PSL , G,+e n4•CTE No. of Units—Bedrooms 13
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; 1(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.
;I NORTH RESIDENTIAL COMMERCIAL-O�State License No.
SOUTH '
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I h6feby cetlify iaormgAiga'submitted is correct and there are no other
Owner or Agent
AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
TOS IS NOT A PERMIT.
6 Vie- -M
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
/q - J i —/rc c,! lftrfS /-
Ind..Ins. Acct. No.
o0
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ures located on this property except
_ Q I4 -I / e
e
BEFORE INSTRUCTION COMMENCES.
Issued
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