1971, 09-30 Permit App: J0927 Residenceft fig
'i ROVED ' f -0 NOT E.Li i
- -' Go my of Spokane. Washington If A
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L4 -7-7I DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 3 Q�
N 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
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 zgress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
peg:formed 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
Name of Owners Address L:..': > \
Architect Phone Engineer Phone
Contractor Address Phone
Phone\ 1
Legal Description of Property (Give complete decription from deed, tax receipt etc.)
DESCRIPTION OF WORK: New 4 Addition Remodel
Size of Lot ,�` 1 r / / =
tY.
Const.Cc . �o•-�� F Dimensions , • � 1
(Frame, concrete, brick, etc.)
Rooms l/" Baths Basement`Foundation Const
(Full, part, none)
Heat. Systems ", �:� Type of Roofing (
Use of Bldg. __ ' N
Garage or Carport Attached
Moving
Bldg. Zoe / Fire Zone ,3
Sewage System -, \ e- Stories i _1Total Sq. Ft. ) i/-'"9_,-11 Valuation 95 C
Chimney J3% ' 1(\1 Fireplace
(Kind) (Number)
Int. Wall Finish . �'ti'I` Aj"l'vv .,
BL NN�. of Units / B oms y
()\'(
Ext Finish
Private Detatched
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
1
NORTH
I her
as shown.
certify information
—
or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
SOUTH
d is correct and there are no of
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit ( vl
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
er str ctures located on this property except
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Dat
0 STRUCTION COMMENCES.
Your street address will be
Sewage P%r`mit Number Issued
Remarks
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Building Permit
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Receipt 7 /6.� Issued 6-7` 7`,/
Form 523 Blda. Coda
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