1977, 03-28 Permit App: M0140 Move Barny
cra,il— C61
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C inty" of Spokane, Was gton y,,.,
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 !i
APPLICATION FOR LAND USE OR STRUCTURE PERMIT t! j s
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 1s subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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. Wherethestructure 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 ..41.71.
/*- Name of Owner �_ rf'r4-2 ��/1 ! V.07 Address .2� /j DaZ1O%L� Phnrfr 7g3-aoso
Architect - • r7 Address ��// Phhonnee
g 11 -Ani... v -ems' / //air /�..aL7��'%.-'-
Engineer�9 c Address _ /; Phone
Contractor Ya -(%L�f ` L.rO. f -1,.w Address 7' [ S (C""�jrivt e-' Phone 14_ 6 - -3� 7 1
Legal scription o r/operty (Giv complete desc iption from deed, tax r ceipt etc 1 g / SST - %O f -7
J
DESCRIPTION OF WORK: New qddition Remodel Movin _ Bld Zone -�
22 / -�-7� g g. �— Fire ZZone i
Size of Lot �J / X t� 5 (,f Sewage System e'l
Const 'rt-'-i>Y�-
`/ (Fr., Co Br., etc.)
Stories / Dimensions �� 7C 1 otal Sq Ft . ? Valuation /DM4 /
Rooms Baths Basement / Foundation Const ed2Ct�i}tfi 'C.�' Chimney Fireplace
Fu 1, part, none) • i dl (Num Nun-4
Heat. System /v/ft' Type ofaioofing` � ` to -c4 inish 7"--/// Int Wall Finish
Use of Bldg. �� '-----
Liv
4-1/...4...71-,
't ,t , yr-"-svu. Qu i %77e...a.4. No of Units _Bedrooms /✓/fes
1 C &� / 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.
NORTH
RESID `.. COMMERCIAL
SP
SOUTH
State License No.
•Ind. Ins. Acct. No.
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REQUIRED
Plumbing Permit
RI in Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitte is correct and there are no other structures located on this property except
as shown. �✓ 328177 8/ f^ 7
� �e�Agent teoC
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
DO NOT WRITE BELO THIS LINE
Your street address will be 1)_.()Ra�,�J-,C The zone is (i
Sewage Permit Number Issued ' Building Permit ceipt .40 2Z. ssued
Remarks
'1nO
/_v.,
Form 523 Bldg. Code