1975, 10-21 Permit App: L1906 Residence1
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County of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /�
PERMIT FEE . lJ_�.60._
GENERAL REQUIREMENTS
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 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 BEL W THIS LINE
Name of Owner _ !��' iJ .��CJ,D C,. Addres -�-�
Architect
Address 94te6 Phone
Engineer Address Phone
Contractor // // Address //
Legal Description of Property
(Give comple
YPA&I'
description from deed, ;ax receipt, etc 1
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A/a .2,15-99-.2h1
Pho e
2217.-^/, 42 ,4k / 41(21:2,47
DESCRIPTION OF WORK: N
Me X Aar.- /4-17R6
Stories Dimensions
Rooms G Baths
ew Addition Remodel Moving
Size of Lot
Bld Zone Fire e
r7+
(Ff., Conc., Br
onst.
Sewage System
tc.)
C9 y.2 a iP` �.f d /X` Total Sq. Ft a� /�/Valuation ._..4gD2*w
Basement Foundation Const. Chimney Fireplace a
Heat. System
Use of Bldg.
Ful
/l%6%rl_.
I, part, none . in 1 (Number
Ext. Finish✓ r / l Wall Finish ,�• �/i''LL
o. of Units, Bedrooms
Type of Roofing
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.
m
NORTH
0' 4 0
I hereby cert
as shown.
SOUTH
information submitted is correct and there are no of
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOT A PERMIT.
State License No.
‘,2.23 - V' ,503
Ind. Ins. Acct. No.
REQUIR D
Plumbing Permit f&
rn Heating Permit `^""
NSewage Permitacts Ole
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
e structures located on th's prop; ty except
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Your street address will be /c71 -C)
DO NOT WRITE BELOW T
L-/
Sewage Permit Number Issued
Date
BEFORE CONSTRU TION COMMENCES.
IS LINE
-�- The zone is
g Permit 2124 Receiptc7C((z Issued
Remarks
Form 523 Bldg. Code
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Pmit) 7oEi.xu 497 't
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