1975, 10-16 Permit App: L1825 MH•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,
GENERAL REQUIREMENTS PERMIT FEE
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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,
Spokape 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.
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 (r>l-ti,- 1.-6C-27 (` ` ` -� Address Phone
Architect Address Phone
Engineer Address hone
Cort .o_'c -L . ff .L. ti �` Address
D'escr iion;6 Pro rty (Giv complete,dfss iption from deed, tax receipt, etc 1 ,
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et t -
DESCRIPTION OF RK: New Addition
Size of Lot t' X /
Stories / Dimensions
Rooms 47 Baths
t j- Full. part, none)
f��Lti�-
Heat. System �4-C. , Type of Roofing Ext.Finish
Use of Bldg. �GZt ' �c�L(, /1`447' Lt
Remodel Moving Bldg, Zone / Fire ZQVe
Sewage System_ -1onst. �" v" �''.""'
(Fr., Con j Br., etc.)
Vf Foundation Const. `u L Chimney aluation f�j�G `'
�T taI Sq. Ft.
Basement ! ">tai•" -� 'L /1 {Fireplace
(Kind) (Number.'
Int. Wall Finish t a yt-`-"
No. of Units L Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
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State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify .information submitted is correct and there are no other structures
as shown.
i
Own or Agent r4 ate
A LAND USE OR STRUCTURE PERMIT MUST BE. -.ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
r144,1114 OD
Your street address will be (_ / 9 63 C .3 ,1 Zf '\--)1 -c• �-1 ' The zone is
Sewage Permit Number Issued BuildinPermit �= Receipt 6r 8
Remarks
located on this property except
DO NOT WRITE BELOW THIS UNE
Issued
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