1975, 06-23 Permit App: L0608 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE,WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE Jr
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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.
NATER. 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.
.1COUNTY 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
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
.;1 which .are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
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or State
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APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor
ddressfw'7 C 8 I cifc4c4 Phone
Address Phone
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc )
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DESCRIPTION OF WORK: New •Addition
Size of Lot _ pv x
Stories 4•a' U 'mansions
Rooms lL Baths
Remodel
Moving Bldg. Zone Fire Zone
Sewage System ,�j ou M/u const. f�fh -
xx `/ Fr., Conc., Br. etc.)
i�Ci J( i� <f/a sr.1 1 //�8� x,a)d .4ot I Sq Ft /g4(3 -Valuation -4179th
Basement +,.I/,• nQ Foundation Const _ea< Chimney Fireplace
(1, part, none) q (Kind) (Number
Ext Finish %i-// Int Wall Finish -21
2'+C
e No of Units _ BedroKms
Heat. System fC/ et -P_ F A. Type of Roofing
Cietr1
. 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
Use of Bldg. 6es,.--ti-e.a0t-,,cf+.2-
as sh
State License No. .
0
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit -
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH'
I he,;eby certify f. matron bmitted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number
C Remarks3A . ,• -ot_0
C� 3 L.0
Issuedll Building .Permit
The zone is f. 6?, cL
Receipt 9 2 OGIssued
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Form 523 Bldg. Code
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