1971, 05-03 Permit App: I4284 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT I of
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. ConstructiWT6 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. 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.
RES/RICTIVE 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 CA -I2.01.— Anne- tinee'LI Address g. IQO(.s- P1R-Re.; At Phone on01-G-4Vit
Architect Phone
Contractor
Legal Description of Property (Give complete
Enginee Phone
Address PO. &s % i . on.,e(ltnr LO ,v , ?Faith.. to A -CV -creo
descri gtier_ from deed, ttrece).pt,0141'
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etc.)
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DESCRIPTION OF WORK: New %("-- Addition
-7
Size of Lot //�� 0f ---(10,Const. •^Q1'RNw( Dimensions - /D t�C c3 I
(Frame, coiii{llcrete, brick, etc.)
b Rooms S Baths / Basement PO Foundation Const.
Heat. System ) ,.. T
Remodel
Moving IC Bldg. Zone �_ Fire Zone
Sewage( System Storie
Total Sq Ft. C Sc7 Valuation 1 qoo O
G,":4L. f- d Chimney Al Q Fireplace 0'0
//11 (Full part none) ,,.. -,11,, o (Kind) (Number)
1�2 D n ype o offing -���� �� ((E��xt. F�inish nv- tet "� Int. Wall Finish
Use of Bldg. " / �°L_. ,. No of Units / Bedrooms %
/ti)
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
albeit() ra-
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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
SOUTH
I hereby certify informat' n subsytted is bry ct and tre are no other structures located on this
as shown.
C..
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
property except
1-- 3- 7/
COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Kb/ s- Pte tla„ ,rL2L
Sewage Permit Number Issued Building Permit
The zone 1s
Receiptz/q/' Issued
1
kilmQ
Remarks
Form 523 Bldp. Code
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