1976, 12-08 Permit App: L6538 ResidenceAPPROVED AS NOTED
Spokane Coun Bldg. Co' - Dep
[gate
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my of Spokane, Wasligfon
ES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
ION FOR LAND USE OR STRUCTURE PERMIT
GENE AL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction mast
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 BELOW THIS LINE
Name of Owner/1)4o odd # Address
Architect Address ,O .p I'✓ Phone
Engineer Address Phone
Contractor Address
Leeal_Description of Property (Give completQ,desplipti.n fr.m deed, tax 7iptt,,etc
structure of any
conform with the
Phone22 —
-// cl-c -/ v
/3
DESCRIPTION OF WORK: New ° Addition
Size of Lot %/ f,? kJ/3- / a3
Remodel
Moving Bldg. Zone
( Fire Zone
System 3 T Const. J✓^ a -
(Fr., Conc.,Ar., 5.,,t -"lc.)
Total Sq. Ft Valuation c0
Sewage
StoriesDimensions56 / ?( 6-6 / O' (7..‘
can CTS �' Chimney Fireplace ar
(Kin. (Numbe
Int. Wall Finish
No. of Units _ Bedrooms
Rooms _1 Baths (F I IB pact, none) U `/ Foundation Const
Heat. Systeme Type of Roofing 0
Use of Bldg.
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 lined'.
m
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/I
NORTH
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RESIDENTIAL — COMMERCIAL
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7'�
I hereb certify informat
as shown. X1 .1.7
-ter
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State License No.
Ind. Ins. Acct. No.
REQUIR/ED.>
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Check
Plans Returned
Plans Picked p
Plans Mailed
SOUTH
on submitted 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 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number Issued Building Permi
Remarks
%
e zone is / I .. ,i._ /
Receipt _,//Issued
Form 523 Bldg. Code