1972, 01-12 Permit App: J1673 Residence , s
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County of Spokane, Washington
a BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
44
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3U
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 PROM 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
Name of Owner �� C .f .s <�� Address 1.�''`)3 -S, -1/4N-..\-'5 �tiur Phone \' 21'`/4' !1`/
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
_ erCk. i.. A �ia C,-,,� ' r s \.., 0..„\\,\.„4., \I , ('�ike.-:�\' ',--
\-Ci 9).LE f . .\Ni eX' i .< ,+- '7 5 S 3 — i er2
DESCRIPTION OF WORK:New ,'/Addition \ Remodel Moving Bldg.Zone / Fire Zone T
Size of Lot ----kt,-; X 14` Sewage System ;P a�l e- Stories /3
Const r'6\--4N.� Dimensions .' -'I` Z• r X 7 Total Sq.Ft. 4 Ni-14I Valuation Vi r.Y70
(Frame,c ncrete,brick,etc.) `
Rooms tit Baths .62. Basement '‘,'X. -.,Foundation Const. r, v..(,,,',ce_ Chimney At'i<14-Fireplace _j____
(Full, part, none) (Kind) (Number) {
Heat. System -r` A Type of Roofing (-'.r: Ext. Finish ``-.'�t `S+ Int. Wall Finish 114511m, `3(1'
Use of Bldg. %.e' • C'NC t o. of Units / Bedrooms y
arage or Carport Attached Private Detatched
PLOT PLAN
•raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
o,osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
t and water supply lines. stat License No.
NORTH ��1�`—
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit GP--0- i •i..--
in Heating Permit - "&•
en co D
Sewage Permit .�--
-s -i l.
Plans Received
' Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb ify informat' itted is correct and there are no other structures located on this property except
as show,
_Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THI$IS NOT A PERMIT.
(51.4/1.) •)1 DO NOT WRITE BELOW THIS LINE
1C a- `/ ,
d T /`
Your street address will be � �� .e zone iso
Sewage Permit Number IssuedBuilding Permit = Receip 0 414(- Issued
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Remarks • 73
Form 521 RIrin Cn 1.
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' F. A. APPROVAL ONLVi
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