1976, 06-28 Permit App: L4518 ResidenceCAnty of Spokane, WaslOgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4?
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GENERAL REQUIREMENTS PERMIT FEE .__�__`_____.__._..
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 <_-0 f? Address T Phone 2,9� y 2 82-4
Architect Address Phone
Engineer Address _ Phone
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Contractor �i 4f mqY Cf� Address Q Z 2 0::71P_ S % Phone 9624 -2 -8 -LI -
Legal Description of Property (Give complete description from deed, tax receipt, etc.
Lo•r I/, BlbCie MyRO)J C -'7-/1T t' 14.nru~r7aI
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot Ln p- 6-'X 14r) X Sewage System SEPTI C—Const. Fi? Ay?,?L
�HEL� 1Fr., Conc./, Br., etc.)
Stories Dimensions —Total Sq. Ft. ---2680 Valuation
Rooms Baths Basement � Foundation Const. `; R.E T-� r14""4. _
Chimney fireplace
Fu I, part, none (Kind) (Number
Heat. System Coz< F. A, Type of Roof ingGDf! 1i= SI�,4�Cif Ext. Finish �� /11 Int. Wall Finish��4u-
Use of Bldg. R �'t D6 OCC GA?_A GE Z�EGL� No. of Units _ Bed --7,o-.s --
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
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NORTH RESIDENTIAL - COMMERCIAL
SOU TH
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-01 State License No.
A -ST- C --�
Ind. Ins. Acct. No.
00
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I heregg certify infor�a9n u
tibmitted is correct and there are no other structures located on this property except
as shown. I/ -"� / / / I — — . _ _ _ .
Owner of Agent Date
A LAND OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS RUCTION COMMENCES.
THIS IS NOT A PERMIT.
61,11- 7xait W2 DO NOT WRITE BELOW THIS LINE n
Your street address will be The zone is
Sewage Permit Number Issued Building Permit Receipt
Remarks --- -__
Form 523 Bldg. Code
CLOU C S4 S
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