1971, 04-26 Permit App: I4227 Residence County of Spokane, Washington
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ilL1: 25r!illILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
-1:__ PLICATION FOR LAND USE OR STRUCTURE PERMIT
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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. 45-133 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.
• PPLICANT FILL IN BELOW THIS NE ...•_ r•-7
Name of Ow�/ i.i �I�'7��Ar_. •ddress �o _, /A �. �� Phone ‘—�7/2 �
Architect Phone Engineer / Phone
Contractor -3-2^-t Address Phone
Legal Description of Property °gm�ple' descr'.tion from d: d, receipt
et
DESCRIPTICQF WORK:New Addition Remodel Moving Bldg. one / Fire Zone
Size of Lot ( /7 0 X,'cv Sewage System / Sto
Const. Dimensions - 0 _ . 1 *t. /933 valuatio *;'Q79-)
(Frame, oncrete,brick
,etc.) s—
Rooms Baths_/__ 2 -asement Foun.ation Corlst` ,- ' Chimney Fireplace
(Full, part, none) 4 / / / (Kind) (Number)
Heat. System _ divot _, Type of�oofin ...0,lier A.,-,%-•.__ _0 �l • r :- ' Int. Wall Finish r. //
Use of Bldg. i " O��G _. No. of Units Bedr.. L-..
Garage or CcworportAttac•-. Private Detatched
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.
NORTH ,State License No.
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Plumbing Fermi 4 /—a -4-—
in Heating Permit �' //- A
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l . m Sewage Permit
4 -'r� eoto oUPlans Received
-i � Plans Checked
b Plans Returned
ix
• . io„ Plans Picked Up
�- Plans Mailed
SOU IH
I h !1:2.! c• •fy informatt�ii bmitte is orrect a there are no other structures located on this property except
_, ._— Owne or Agent Date
A LAND USE OR ST UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PER IT.
DO NOT WRITE BELOW THIS E
If / a( A -Your street address will be - / (/ //��� �� .e z.• is
IIII
Sewage Permit Number Issued , B .ding •Permit •c./).Z7 Re.-ip I ued
Remarks
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Form 523 Bldg. Code
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