1977, 04-06 Permit App: M2165 Residence—.t
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast 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.
APPLICANT FILL IN BELOW THIS LINE
371
Name of Owner c / / /l L. lid A, 4e / Address %� t 3 /q _lg Phone
Architect �/ Address /' o / / a s:,1 1 ,4 �� r/ d Phone
Engineer Address / 3a — Phone
Contractor ,5 A rne- Address Phone
Legal Descsiptio9 of Property (Om complete descripti from deed, tax receipt, etc.) Parcel
AO 74 o c / t5�j�? woo a X .ees iL
71)E 7/7 OF' 19geoe/ _17
Number
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot .2—/PRggi2 JO /2
S,n//,41euel
StoriesDimensions
Rooms lD BathaLP Basement // Foundation
(Full, part, none1) +'/ y
Heat. System 4, Type of Roofing �S'Ve jl g
Moving B1d
Sewage System
Total
Const GQ►'1C' �L' /
Ext. Finish ��IIOG
Use of Bldg. kVAp U )/ / ?%Aetl eci / ,,g ,e iq
R 14.442-1,67 - PLOT PLAN
. Zone / Fire one 3
(Fonst. kQ mF'—
r., Conc., Br.h, etc.) QST
Sq. Ft. t�� Valuation cC7Qfr%
Chimney Fireplace 44
(Kind) (Numbey/
Int. Wall Finish /)Ey a -M /+
No. of Units Bedrooms -j
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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NORTH
/7Tl4clig z:
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
,�
Plumbing Permit -1�—GLS 1J •
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify inforc tion submitted is correct and there are no other structures
as shown. �� (/ '
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Owner or Agent
A LAND USE OR STRUCTURE PERMIT MU T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
OW,/.
located on this property except
Date
DO NOT WRITE BELOW THIS LINE
Nreet address will be /4%/l ,414,tc-fiv ILLi:„�I. ,.
\t Number Issued Building Permit
The zone is_
S Receipt fri-` /4-J Issued
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