1976, 04-23 Permit App: L3641 ResidenceCk.anty of Spokane, Washington
BUILDING CODES. DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 1s 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 Ian
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
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Name of Owner
Architect
Engineer
Contractor
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APPLICANT FILL IN BELOW THIS LINE
Address Phone
Description of Prop
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ddress/� /� Phone
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deed, tax rete' t etc / -- a 3-1- `1 3 `i7
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DESCRIPTION OF/yyOR Ny�w Additio`rt Remodel Moving X Bld Zone / Fire
Size of Lot IO y�/7 �� 2- AL-CiT Sewage System Rpm�..��qq
Stories / Dimensions ?(i .0 Total Sq. Ft9t5t) Valuat'
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Use of Bldg. --Z-�"' No of Units_Bedr
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(Number
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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State Licens o,
Ind; Ins. Acct. No.
Plumbing Pe �^.
Heating Permit c�
Sewage Permit
REQ kjIRED _
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information sutteis coryect and there are no other structures located on this property except
Owner or Agen Date
A LAND USE OR STRUCTURE ERMUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A -PERMIT.
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as shown,
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DO NOT WRITE BELOW THIS LINE
Your street address will be/...9-71•2t$C ,(� The zone 1
Sewage Permit Number -......w Budding `,Ll „'
Receipt•
Re rks
Form 523 Bldg. Code
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BLAINE JOHNSTON CUSTOM BLDG.
P.O. BOX 14393
OPPORTUNITY, WASHINGTON 99214