1977, 04-12 Permit App: M0578 Residence7
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County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building o
kind or alter any building or structure already erected, or to change a land use. Construction mus
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 oneater co
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engine
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SETBACK 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, eke.) 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 top enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE '1 icd Pe t,,,, c_ Q 9 2/
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.{�j -' .. Phone Q22 17:Z-
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Name of Owner ! �1-1-f! �(� VAL�11 /X Address. -
frchitect 9(—'-"—" Address Phone
I( Engineer� ,,II Address Phone
XJ
Contractor ° .,a.4ZtQ Address Phone
Pn4'it.'/ 9:i 43- 0 /e.0
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
L /< a at,<C1 3/ /xt (Ltd
DESCRIPTION OF WORK: New k Addition Remodel
Size of Lot /JG X. -4/f%'
if
Stories_ Dimensions -2 9X•-) CIry-j n .l k (- 'r /A X'0^Y` L,ECK Total
Rooms fc--Baths 2 Basement 7•tuFoundation Const 0 A-74-4.-aleT
(Full, part, none'
Heat. System (Type of Roofing Ext
Use of Bldg. P / .f (' d — A7 2(( — ileLl-G(9 t"
Moving Bldgy. Zone_L___/ Fire jone .�
Sewage System leLop t-��/
�) Fr:, Conc., Br., etc.)
Sq. Ft, feyif _ Valuation �y et _
Chimney�tt -Fireplace 4�'a --
(Kind) (\ (Num er
Int Wali Finish /1-i�L(� '/�i,�-1
No of Units _ Bedrooms 3
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.
NORTH CRESIDENTIAL/- COMMERCIAL
SOUTH
I hereby cerj,'fy information submitted
as shown.
orrect
Owner or Agent
rn
y
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
�{ s -7'i
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
07M , -141,er it
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be / D 2. 3 pe , l7 A �.-ttv U' The zone is (%'' AU A'/[. ( �f�i
Sewage Permit Number Issued Building Permit (4i i e 1 Receipt J�7„ 5) Issued
Remarks Permit/
y
Form 523 Bldg. Code
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10x1di
Decn
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