1971, 11-12 Permit App: J1296 ResidenceII
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County of Spokane. Washington O PT
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 992011 /
APPLICATION FOR LAND USE OR STRUCTURE PERMIT. (�
GENERAL REQUIREMENTS PERMIT FEE
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; 45-113 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
J
Name of Owner _F*'C D
C.0 t A[TO Address )V Mc Hph✓yds-.Libel-'y p y�.� a A4LS-.6as/D
Architect $v/1. a j T� Y Ays1- -Phone R 17n5)iEng sneer Phonephone
Contractor Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lo7- 10 eine N R gill view Fs7ATE S x.7 5 t/ 3 - /0 /
DESCRIPTION OF WORK: New Addition
Size of Lot 27 / %f / a 7
Const. Jn /; LH( Dimensions Q 7- )1 Z L t 1 %3. 3
(Frame, concrete, brick, etc.)
Rooms Baths _Basement FL,/ ) Foundation Const CO heJ •• ti t.
(Full, part, none) I s�
Heat. System C -r 5 Fttr(ro -Type of Roofing A9PI{a 3 -r Ext. Finish Jla Snn • ` e
Use of Bldg. Ae4,done. e w -
Garage or Carport Attached a 09 `P
Remodel
Moving Bldg. Zone
Sewage System s r w e 4
Total Sq. Ft. 2'2-6 0
1 Fire Zone 3
Stories 1112.
Valuation A-7--c_t'
`
Fireplace 2.
(Kind) (Number)
Int. Wall Finish Pq wa 1)
Bedrooms `f
Chimney
Prop
ga
'-i•V'4
N N.
HQ
Tra e he 1
No of Units
Pruritic Detatched
PLOT PLAN
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3)/location of existing and
ed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
d water supply lines. / 4.
NORTH
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I hereby cert
as shown.
1 SOUTH
y information submitted is correct and there are no other
er
State License No.
;12-3-t J-l207d
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
2 -
Owner or Agent late
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
-�� DONOTW
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Issued
BELOW THIS -LIN
.1/1'l-Q.tJ
r
e zone 1� i_--�
Building Permit Receipt 3 / y Issued
Form 523 Bldg. Coda