1971, 05-04 Permit App: I4246 Residence1J
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTONt�401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Ql7 .
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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, permis41-0c-'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 2
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.
j' APPLICANT FILL IN BELOW,/THIS LINE ,� / / -,
Name of Owner i/ t�Ox-t-4 • Address 72' fit/ Urea i�pa Phone 6. a 6—j.Se.1
Architect S'a.,-A.,_4, Phone Engineer Phone
Contractor 6 ti.r•.Q Address Phone
Leg.1 Qe iption of Proper ive compl: e descr"pt"or - i d 7�
from deem ta. recg�pt, etc.)
lir-' = --- Z —� -? _020e
DESCRIPTIO ON F WORK: New L- Addition Remodel Moving Bldg. Zon
Fire Zone \,...3
Size of Lot q;10 X / a S r / Sewage System tries -
Const. cOiRsk.' a. Dimensions 2 4' O d Total Sq Ft / %n Valuaatio'PC „`2 '3 cO d
Chimney (40,41 Fireplace.
(Frame, concrete, brick, etc.) -�
Rooms 9 Baths f Basement /7,&1/ Foundation Const 6.h1A9
/' (Full, part, none)
Heat. System l'r'G—Type of Roofing .ExE-Finish /'•�'
Use of Bldg. S/1� (/
'C
Garage or -Genesee Attached a k
PLOT PLAN
(Kind)
:Number),
Int. Wall Finish 129-- vtjc /&
No. of Units Bedrooms
Private Detutched
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
I he
as shown.
SOUTH
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perm'
en Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Wattis correct and -there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION/ COMMENCES.
THIS IS NOT PERMIT.
I /4i 4 1t I DO N*ice' TE _LOW THIS LINE
ani- nal/_______W______ _.-.A.-f"”., - -�
Your street address will be L. _=mss tee_ c-__ r e zone is
Sewage Permit Number Issued Buildinjermit - Receipt Issued
Remarks ,
Foran 523 Bldg. Code
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(i1V} NO 175 - 11)(17