1972, 01-13 Permit App: J2098 Residencer
® RTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99449
' PERMIT
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- FOR ,AND USE. R STRUCTURE
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PERMIT FEE..
S�►EaaQUIRE!?�TS
77urn permit is required byCounty Resolution to erect a building or structure of WU
ki d oing or sttur already erected, or to change a land use. Construction must conform with the
Sp k dinance. Construct ion .is subject to inspection.
WA 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
25' rear yard are required.
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a
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 cork 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
dedications.
which are enforceable through civil action. County Officials can not bring action to enforc�anr,",
APPLICANT FILL IF`1 BELOW THIS LINE
Name of Owner
Architect
Contractor
Legal Description
Phone Eng ineer __
Address
f Property (Give complete description from deed, tax receipt, etc.)
-:;, n A 1 — 7 / Aft 4 J�—
C -.X
Phone
Phone
Phone
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone --I-- Fire'Zone
-73
Size of Lot X /, s Sewage System e Stories 4
Const._, - s Dimensions,Y- Total Sq. Ft. iU valuetion,.,�� e
(Frame, concrete, brick, etc.)
Rooms Baths a—Basement, Foundation Const. _f d ( i—,e SL Chimne Fireplace
(y,(Full, part, none) (Kind) (Numbe
jo
Heat. System c,,= Type of Roofin Ext. Finish47j:: Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached Private Detatched
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. N
NORTH
SOUTH
I hereby certify information submitted is correct
as shQ". A I
State License o.
1 - Z"
Ind. Ins. Acct. No.
REQUIRE®
Plumbing Permit
in Heating Permit --
S Sewage Permit
�n
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed _----
there are no other structures located on this property exce
` Owner or Agent • k. Date
A LAN® USE OR STRUCTURE PERMIT MUST BE ON TIME PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
®O NOT -.WRITE BELOW THIS LIRE
Your street address will b d / �' _ e zone
Sewage Permit Number Issue Building Permit Receipt Issued
Remarks 0 11 -
Form 594 RIA, r' A.
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3ijiider_.s.i_Ksai�__._t�
Address
CItY State to
.,AN L.egga! Dpscription of Property
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