1971, 02-24 Permit App: I3545 Residence•
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992
APPLICATION FOR LAND USE OR STRUCTURE PERMITS()
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 OP 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 Any 1P6J4/A(S/�,r Address Itl 2� 3[«A Phone %' X' QS /y
Architect / l( Phone Engineer Phone
Contractor ,51a771k, Address Phone
C)7 -x91- /70 LL
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
r s- yy
147- 116 y
/va/F4v/ as
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone/ Fire Zone..
Size of Loot /de y ( I X
Const. (-?mfr(, Dimensions 1�/l'.2 * put -F(93 .esri Total Sq Ft /7V./ Valuation '/�0-(ri
(Frame, concrete, brick, etc.) \ /q� ✓
Rooms_ Baths LBasement Fa LL Foundation Const en u/ne 4 Chimney �— Fireplace
!._.. '!a (Full, part, none) �1� (Kind) (Number)
Heat. System / ea Type of Rdofing COIF. Ext Finish % .,--/f Int. Wall Finish �%?f/s.>el<
Use of Bldg. fees/ of ae-e No. of Units / Bedrooms
Garage or Carport Attached 1
(
Sewage System le iC Stories /
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tern and water supply lines.
1S3M /lja
/
NORTH /ft'1
ti
I hereby car y
as shown. ya
SOUTH
subkitte s correct and there are no other structures located on this property except
y 7/
A LAND USE OR STRUC
THIS 1S NOT A`PERMIT.
( /y1 0 I _ DO NOT WRITE BELOW THINS- LINE _ �i
Your street address wtl be /9e y J// u it A _ v""" 3q�� S_�� ���V,..,.._��rhe zone 1s ���-s„., --
Sewage Permit Number Issued r Building Permit --gr- Receipt 3 ? i _{ Issued
Remarks
State License No.
CGS
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit •C 1-
rw Heating Permit ah.CP,I/
Sewage Permit /49,.t 11e2
Plans Received
Plans Checked
Plans Returned
Plans Picked Up_ _
Plans Mailed
Date
RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
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Form 523 Bldg. Code