1972, 10-31 Permit App: J4905 Residence/
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
kidlTtliuse ostrsrequired yucResolution
erect
building
structure
the
kinnorr alter any buldingorstrucurealreadyerected, ortohangealanduse.Constructionmst conform with
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.
leastk fr
25'FisSET-BACOM
rPRPERTY LNES. In mostequired, al 5' side yard,z15' side ardrfrom acflankingnstreet,sandbac25' rearthe
yardfront
areproperty
line, of at
mostrequired.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress.
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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 IH BELOW THIS/LINE
Name of Owner f ♦ r ddress S • cPQ - r) /F t It) .4
„ �,
Architect Phone Engineer
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lo -4- /2 R/fIcif / Jaevera./LI
Address
Phone !__A _l t1= = ..�7
Phone
Phone
DESCRIPTION OF WORK: New 1,/ --Addition Remodel Moving
Bldg. Zone Fire Zone
/ m V / >1Z) Sewage System $41/42:---rs ^- Stogies
Total Sq. Ft. Valuation
Const. F%2 Dimensions 6 x �� i. G
(Frame, concreteete,, brick, etc.)
Rooms Baths /1% arc... Foundation Const C o sue- hi4 e. Chimney Fir
Basement uv u7iivc•
�- (Full, part, none) o (Kind)
Heat. System M t: i R./Type Roofing /�% '� Ext. Finish � 1 Int. Wall Finish
y roA ype of
Use of Bldg. L. of Units _ �— Bedrooms
Private Detatched
Size of Lot
Garage clpCa ort Atrarrr
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.
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4
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i
4,1
State License No.
223-o1• 777
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit _
Plans Received
Plans Checked _
Plans Returned _
Plans Picked Up.
Plans Mailed
Pel Halm Wear
on submit ed is correct and there are no other structures located on this property except
I her T,y certify infor
as show
c 3i
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be fit ..%
Sewage Permit Number Issued
Remarks
_The zone is
Receipt97— `Z0 Issued