1976, 12-29 Permit App: L6628 ResidenceChitty of Spokane, Wasa ton
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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 mast 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 6
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
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Name of Owner✓ 1 '& . isd�`Jvk Address
Architect Address
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Address /n�
Engineer /° �_ r'! _ .li._ . _ Address G,iit r�t7it1AL)
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Legal Description of Property (Give complete descrip on from deed, tax receipt, tc) -
k, i L7 P4',t I mo;,.l. ,e. L-' "t/ r) . \r /2r
Phone } � ~ Q..
Phone
Phone
Phone k.
A,4.05';w
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zorp / Fire Z,pne
1 It . i / '��J
Size of Lot I ' 1 C 3� Sewage System -L—' Const
`J- (Fr., Conc., Br., etc.)
Valuation /C�z•��
Stories Dimensions (.:Vie IC.2�)t i � kolli) -6.2Aa'�) A 4
Rooms Baths °' ullBaaet none V Foundation Const �3�,c ✓1 t
(Full, p
Heat. System--� 2 Type of Roofing _0'1 4iC , Ext.
Use of Bldg. t fiCA- ". .� - eFS • k
® PLOT PLAN
Total Sq. Ft /j l
rcE Chimneyreplace'
Ind) (Number, .
Finish ----r-- 1 l I Int. Wall Finish X12',01 1% U V
VATT.k..LIE0 K.IAS No. of Units _ Bedrooms '5
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ESIDN AL - COMMERCIAL
I hereby cert • y i
as shown.
Owner or gen Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
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State License No.
Ind. Ins. Acct. No.
tq- X62›-9�e15
K ati F/I
REQUIRED
Plumbing Permit -9~,-N M r
Heating Permit fid-
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ormation subm •d is correct and there are no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Your street address will be , J3) .2-4 � (Lf �}-i.(�11
The zone is Lei ��- � ��? J 4
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Sewage Permit Number Issued Building Permi Receipt ,- i/.5 Z Issued
Remarks
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