1971, 11-12 Permit App: J1297 ResidenceIII/ • 107,
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT l ,
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 Bork 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.
E APPLICANT}FILL IN BELOW THIS LINE
Name of Owner `t" F Cnnfi Y z 4 l UV 5 Address /t/,26 pr iJo h or• /be h)/teat Pe A�-5 Z 2VO
Architect 0SyGua'2'`/y
sTRY Assc PhoneRl`/d �gineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc. )
4o't' J/ r8/or is 5 {•I/JI 'vis .sar F47z7es .1,2 7s `/ 3 - /0//
DESCRIPTION OF WORK: New '..---- Addition Remodel Moving Bldg. Zone I Fire Zone /
Size of Lot 87 J( 12 7 `Sewage System Stories / ''/ 1
Const. Fr? i -n a Dimensions y1-) 14 1. 1 7. 3 7 Total Sq Ft.H--31-224-D Valuation 2-? C 0 0
(Frame, concrete, brick, etc.)
Rooms__ Baths _Basement FVII Foundation Const CO/VC free t-a.Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Cra s pinnate Type of Roofing A S p h a) T Ext. Finish Fiasen'r) v Kuf X 90 Int. Wall Finish pry Lv a 11
Use of Bldg. 1.6rt-"'P- P e St 10 n te ) No of Units Bedrooms C_
Garage or Carport Attached •flW'�'Ie 4.-'ar a i E 41-1 a.. e ]t e O Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Iodations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
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(3) location of existing and
(6) location of sewage sys-
State License No.
a23 -0/—J 67?
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 1/140
Heating Permit
T • Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. /f
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
DON T
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Sewage Permit Number Issued
Remarks
ITE BETHIS LIN
Bui
Permi
e zone 1s
017 Receipt 31,4.4_ Issued
Foran 523 Bldg. Code