1975, 08-07 Permit App: L1089 Addition0
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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..L�
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.
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 OP 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.
tf��� APPLICANT FILL IN BELOW THIS LINE
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Name of Owner ur4P YQ.�r7-Q.0.. Address P., to S> 1 7 T� AnniPi1(/
Architect aU Address
EngineerAddress
Contractor `Yq PPr,-Pa
Leev�al Descri tion of Property (Give complete description from p
C5�✓tcl2�c�( ,4.�tv�2ccn n�ax'�>Fzeiw Zr7 �P� .¢/r..az
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Address &RO t
m deed, tax receipt etc. (/
Phone 9c//n— Mte?
Phone
Phone -
Phone 7076- -� tRt
— /5 ' .77J t209
.Af c1i7,nfi? no -.4�.eneco
' DESCRIPTION OF WORK: New Addition
Size of Lot / S' -i )( /17. ) G a( /c
Stories/_Dimensions eri9fA
Remodel Moving
-3 )( // 7:79 Sewage System
Bldg. one / Fire Zone ..
Const.
(Fr., Conc.";Bt etc.)
d /
Total Sq Ft 7 Valuation i 2S--00
Roo Baths �Sasert)ertr--- Foundation Const �' -�'r �Cfiimney Fireplace
�/C^/}�� Fu 1, part, none) J , g �r (Kind) (Number
Heat. Sys em •Typ of RRooptt'ng /� Ext Finish V / v Int Wall Finish d4!-�
Use of Bldg. -71-n.-7-2,--- +!�J O w_ rZ- ----- No of Units _ Bedrooms
7
, PLOT PLAN
k Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
em' nd water supply lines. ��
NORTH �State License No.
I here
as shown.
-7"4,5 .1 T H g 3.
ormatio submi ted is oorrect and there
Owner or gent
A LAND USE OR STRUCTURE PERMIT MUST BE ON,THE PREMISES BEFORE
THIS 15 NOTA PERMIT. •
DO NOT WRITE BELOW THIS LINE
0
Ina. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Your street address will be f 680
/ Rnildi,ii
Sewage Permit Number Issued
Remarks
Date
--7-75
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CONSTRUCTION COMMENCES.
The zone ICC(
Receipt/)/✓,./C Issued
Form 523 Bldg. Code