1977, 12-21 Permit App: M4467 Residencel
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County of Spokane, Washington
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 atiy
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
7 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
j 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 thestructure 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.
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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. r�_
APPLICANT FILL IN BELOW THIS LINE
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Name of Owner
Address //47.2-/ 17:• Crar
Architect Address
Engineer Address
Contractor CAM F Address
Phone ,r)-(-01.1) 1Z_
Phone
Phone
Legal Description of Property (Give complete description from deed. tax receipt, e )
the- Fast /SSo f Sea -./A -7q/ l�rj�_ ;J // g.9a
.Sedan 34/ 'T 2.-(o�.tji� .e "IV ccu / /7 ; 1 n /6a rr P
DESCRc�OF WORK: New Ft' 74):/-FAddit �/ Remodel Cancer
Size of Lot 73' i< /.3O'
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Stories Dimensions 4Yrx /\ �� /D t�A Kz,k Total Sq. FL
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ifOti-u c y / WcLs-h net
Moving Bldg. zone / Fire one
Sewage System S� C rC Const. A
Fr., Conc.etc.)
Rooms 9 Baths —"Basement Foundation Const ___( n.L4cre Chimney
F IIt part, none)
Heat. Syste *tie CG GType of Roofing CCflt Ext. Finis
Use of Bldg. /2cZ 1S GCC- ( �j
U•/ 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.
e2. Valuation
Fireplace
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(Number
r/-ifInt Wall Finish tti+121I7 ei
No of Units _ Bedrooms
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N
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NORTH I. RESIDENTIAL COMMERCIAL
bed
I hereby
as shown.
A LAN
THIS I
y informat
A/1/ At,/
Owner of Agent
SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
State,i ey se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures 1
1 r Your street address will be
Sewage Permit Number
-.. Remarks
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Issued
Bu
ding Permit
Da
ated on this property except
CONSTRUCTION COMMENCES.
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. The zone is L-(7 44-C..t .l'I-! �.vf
Receipt/00/4/4 617 Issued
. Form 523 Bldo. Code
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