1976, 10-08 Permit App: L5779 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION 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.
SEWAv S 81EM. 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 13Rter; 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 L4NE� fQ/
Name of Owner dP_ -/ �° ' / ` Address l 1t1 / one .01 fre ' v�` 3
Architect a Address Phone
Engineer �� Address Phone
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Contractor /lsc, Address Phone
Leg Description of Pr rty (Give comp to scriplierermjdeedi tavemyipt, etc.) c9a-zeeZ-C, .;Y- ` �\- `` 7&
DESCRIPTION OF WORK: New `/ Addition Remodel Moving B%g. Zone.- / Fire Zone ` .
Size of Lot /$le 6/ ,i t 0.-Y' Sewage Syst f ons. .--V-17 -,. .etc.)y
Stories L• Dimensions • r �� � ) 7Y/2—total Sq. `Valuation-7 ,t-
Rooms aths Basemen T �` "1 .undation C,/ st.. f_ A Chimne re. :ce 't —�
Ful , part, nop / ! Kind) (Number
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Heat. System Type f Roofin.__A/ _ -.i.- ini • �hl;r,, "ri krt. Wall Finish ,
Use of Bldg. -. �'_yyc • c ,..„/y- ei , J C&,G No. of Units _Bedro.�s
_i____."2 r �-,
--�. / PLOT PLAN J.—Ad- ,°`�, ../�17a� --04,-#'---i-/
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Draw sketch with dimensions showing: (1) property lines; street or road locations; (3) location'of existing ana--7
proposed buildings; (4) distance to property lines and street) dimensions of buildings; (6) location of sewage sys-
tem and w ter supply lines. ).
NORTH ( RESIDENTI I/- COMMERCIAL State Lice a No.
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16 . ct. No.
aid
REQUIRED
Plumbing Permit ��..-=-• • •:----\_
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• ►rn Heating Permit �i
en �
-r /, 1 N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby-certify information submitted is correct and there are no other structures located on this property except
as shown. rt.-1.-\- -t_e, 9 - s_e3A-C f
76,
Owner or Agent Date ,
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ITAP 7.
y(l � DO NOT WRITE BELOW THIS LINE
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Your street address will be /�; wv]/� � Qt�C --Ai-4 �.. .� ' The zone is `.v- „_ �_ ,
Sewage Permit Number Issued \\\` Buil.ig Permit �5 7')1 ,Receipti3S�/ Issued
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Form 523 Bldg. Code
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i i ED ENGEL, BUILDER
5 215 S. CONKLIN RD.
I i GREENACRES, WA. 99016
_ (509) 924-6133
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