1972, 05-16 Permit App: J3032 Residences r►
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byIounty Resolution to erect a building or structure of any
kind or alter any building er structure already erected, or to change a land use. Construction most 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 Inglneer'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
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Name of Owner 4 -// uLt r• .�A) , Address 122- L 0,04,i1.1_
Phone LA- / ��" Q
Architect Phone Engineer Phone
Contractor ¶4/let Address Phone
Legal Description of Property (Give complete description fromdeed, t x receipt, etc.)
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DESCRIPTION OF WORK: New L -----
Addition Remodel Moving Bldg. Zone ( Fire Zone 3/
Size of Lot fry- I X 1 2-2 Sewage System f �,�R �� Stories /
Const. Dimensions % lC, Total Sq. Ft. 2-1.-5 n Valuation Yep OW Ylp f
(Frame, c ncrete, brick, etc.) /- / -�-
Rooms Baths 3 Basement 1-1Foundation Const. ( C)/1,11 Chirnney�t�ele Fireplace
(Full, part, none) / (Kind) (Number)
Heat. System& -f4/4 Type of Roofing 5/14k+g— Ext. Finish L3 S/t gIC.. Int. Wall Finish
No. of Units / Bedr • • ms
Use of Bldg.
Garage or Carport Attached 2 Get r'
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location
of xeistingan
sand
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location
tem and water supply lines.
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NORTH
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SOUTH
State License No.
L23O/ /c073
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ib/7'na
Heating Permit ��✓�
Sewage Permit ffJ^!&-, ey
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certi 1. ormat'.1 ub .'ted i ••rrect and there are no other structures located on this property except
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Owner or Agen
A LAND USE OR STRUCTURE PERM!
THIS IS NOT A PERMIT.
Date
UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IDA NOT WRITE BELOW THIS LINE
Your street address will be 3516
Sewage Permi Number Issued
Remarks r �Y
Building Permi
"e zone 1 --
troy i Receipt q 7
ssued
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