1971, 04-14 Permit App: I3988 ResidenceCounty of Spokane, Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE J
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 47-255.
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 BELO THIS LINE
Name of Owner 42/Qe7i1/ C 404/ 7,e C a ddress 7 I� '.CC " Phone 5 y'ioi
Architect L.'?425 0 Phon /- 'i72X6gineer Phone
Contractor ‘54,1e-- Address i Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
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DESCRIPTION OF WORK: New
Bldg. Zn. I Fire Zn. 3
Construction //1W/7(.._
'/X a /�%.e c,,•:, / -7..3s3 - /4;4)
✓' Addition Remodel Moving
Size of Lot ar3.. 4X r/�s^s2 Se a System Se«°7'C Stories.s//Y
������ ISlEPTIC TANK,ETC.) T
Dimensions.3 X ?kss/XX��ota'Sq.Ft. i/�79 Valuation /4 4'067
(FRAME,CO,j,CRE,��T ,BRICK,ET .)
Rooms . 7� Q9II$asement f/e.i.1- Foundation Const. /J �104irtre Chimne
&otPireplacell Htg. Sys.d2;eFuel
( FULL,PART,NONE)/�� (KIND) )W.,AIR,STEAM,ETC.)
Type of Roofing !_�Ol7/�.'LS/T,� 4 Ext. Finishl/' Int. Wall Finish ' yry
�4L
(COMPOSITION,SHINGLE,ETC.) (SH.,METAL,SHAKE) (PLASTER,DRYWALL,ETC.)
No. of Families / Miscellaneous
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.
Garage — Attached
Use of Bldg. /, { % 16e41to it
NORTH
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Agent
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State License No.
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Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit"tc'.jD
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Heat ing Permit
Sewage Permit ��/✓�Z 7'k'
ubmitted is correct and there are no other structures located on this property except
Date
-i7/
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued - :ui ing Permit
Remarks
e zone is
Receipt 3
ilei.
Nor
IN -Issued
Form 523 Bldg. Code
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