1971, 02-11 Permit App: I3483 Utility BldgCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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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 15 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 etenr /fvntiT (if/P(i ZWAddress Phone
Architect ' Phone ____________Engineer Phone
Contractor c.&--- Address Phone
Legal 'Description of Property (Give complete description from deed, tax receipt, etc.)
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aff-- S •Hl-2er5ey --anO3_
DESCRIPTION OF WORK: New Addition
Remodel Moving Bldg. Zone Fire Zone
Size of Lot / e 0 FK 4'O) Sewage System {• Stories
Const. d'_Dimensions 149-'¥/e/ Total Sq Ft. id0 £Q,.P&Tyaluation —lay =-
(Frame, concrete, brick, etc.)
Rooms / Baths Basement N44y4r—Foundation Const
��----��lqp (Full, part, none) / .-r-- (Kind)
Heat. Systema Type of�Roofing,-•IICc &," Ext Finish / ^ /1/ Int. Wall Finish
Use of Bldg. V77L/Ti' R.41-nt ifra'7—/"7Cnf (' y,ezt 'No of Units
Garage or Carport Attached Private Det itched
C"r,�C.
Chimney
Fireplace
(Number)
Bedrooms
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.
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SOUTH
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cars iry information ubmitte 'correct and there are no other structures located on this property except
fie -241
Owner or Agent Date
A LAN USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
Your street address will be
Sewage Permit
Remarks
DO NOT WRITE BELOW THIS LINE
e zone is
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L11310 MISSION WA 4-761.1
SPOKANE, WASIIiNGTOII
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