1977, 07-21 Permit App: M2503 Residence vi ''
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County of Spokane, Washington
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BUILDING D NG CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
3(-1' 1 APPLICATION FOR LAND USE OR STRUCTURE PERMIT o G
GENERAL REQUIREMENTS PERMIT FEE
2_.----
. A
and use
r
it
ndlTerlosstructure
by County
Resolution
erect
building
structure
any alter any buildingorstructuealeadyereted, ortohangealanduse. Constructionmust conform with h
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. e
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
e which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
PPLI ANT FILL IN BELOW THIS LINE a
Name of Owner ! Address 1 / Phone£ 9(/ t
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal scription of Pr,' rty (Giv mplete description from deed, tax receipt tc.) Parcel Numb r 7 '-e)_ 0
' ' Y - / / �1-�.. 1- � .-`, .-`' .
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone ` Fire ne
Size of Lot 3 L/ / A )--4,J Swage System • oust. l
-7 ,/�/ �,Ji►� �O X J �Fr., Co r., etc.) O c'
Stories Dimensions d)-A 7O ''� 4- ,2 5%3 ij '2- f)VTotal Sq. Ft.)'Valuat 'CIC'
Rooms Bath- Basement C/46o nda 'on Const.
U I, part, none) f�r'r Chimney Firepla e r
1d (Kind) (N er
eat. System / z. Type of Roofing tL.,JL _ xt. Finish' 7`/( Int. Wall Finish
No.
Use of Bldg. . . !L��L� .y_ a No. of UnitsLBedrooms
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-
il
tem and water supply lines.
NORTH State License No.
Cie-f l"-12---" _.—
Ind. Ins. Acct. No.
RESIDENTIAL—COMMERCIAL
4_ i>192--Z
°lIi r
REQUIRED
Plumbing Permit
in Heating Permit
in a
to �_ ye Sewage Permit
1
iPlans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures locat on his property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CON TRUCTION COMMENCES.
THIS IS NOT A PERMIT.
.. ,............`i DO NOT WRITE BELOW THIS LINE
Your street address wi `,Ac,1 ...,_ 4(.. .., _ _� f The zone is iAP
5
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Sewage Permit Number Issued Building Permit bi1-', ).? Receipt(64/5-4 Issued
Remarks /9
Form 523 Bldg. Code
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T
y
4
7po
On-site Sewage Disposal System Informational Review
NOTICE
The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health
District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Spokane County Health
District for the installation of an on-site sewage disposal system is not to be construed as a vesting of a right by the owner /
representative to obtain a building permit for this property. At the time that a building permit is applied for the subject property must
comply with all applicable federal, state or local laws,ordinances or regulations with the exception of those relating to the issuance of a
permit for the on-site sewage disposal system by the Spokane County health District,pursuant to this form. Accordingly,although as of
the date of this document the subject property may meet certain state or local laws, ordinances or regulations, in the event such items
change between the date of this document and application for a building pennit, the owner / representative will be responsible for
meeting such regulations in effect on the date of the application for the building permit.
Street Address: (`- t i/e C
Parcel Number: -YS-OG .-Dai
CQ.\-'°';"& e-- Picv. Priv O- * S1 X1 4=', 6e• c sur coK O - t3 LK_�
Legal Description:-T\� C' At�5 S y
Lk) 07 t� -< (•) ) ,/ -- --\--i - Sr7 fc,D(-7,C- v\0 r-1. L AL .t,
Aaj -N </ 4- 40 YU 13 `IN /l`.l&qty a 1 s. i V-f- +o IU LAJ O"�=?131_' S/\-1
Property Owner: U V O S � t'�) 10 om_��J Phone: `� J , — lJ t 7
Mailing •ddr• 1 L—, Q b b `k Ye V Ctne (A)A 9
Signature: 2� -• -- I .• Dra_ .0. '--94k Date:
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PLANNING DEPARTMENT
l Dedicatory language within plat
CS Subject property is legally divided 4rl GL ,
JA
110 Certificate of exemption required 40)(1 Sfillh CE– `10 O -1 h
y-es Use authorized under the Zoning Code SI yvA c FZCVYII pt-1 VC SK&t.V h�
��,�,"" / Setbacks meet Zoning Codes requirements
1b PJB. — Shorelines permit required n4 U s l WAP l W, SLOMIPt-S 11410,4, t4d
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GW etwu — Variance required for the following reason: 1
ottl MI, _ Other: (�iqs---
......ab 19M/chi/I,, f1 / e /� �1Date: �Q �S
Reviewed by: / QSL�J
DIVISION OF ENGINEERING
Al A. Site drainage review required
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Maintained county road
ii ,, , 'pproach permit required FILE
e
,, Varimuetrequirements
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�1J r Other: Ilk
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Reviewed by: ,, CAU Al c.alle Date: / ,
DIVISION OF BUILDINGS TRANSACTION#: j 9_5–e0Ra
• The Division of Building as advised the prop' v ommer/representative that an in depth review may be necessary when a formal
building permit applica 'on is submitted.
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Reviewed by: ( kf- Date:
TRANSACTION NUMBER: T9500826 DATE: 06/08/95
APPLICANT: THOMPSON, NORMAN PHONE= 509 535 0666
ADDRESS: 2626 E TRENT AVE
SPOKANE WA 99202
CONTACT NAME: KIM JEFFREYS PHONE= 509 928 2085
TRANSACTION: ON-SITE SEPTIC REVIEW FORM
DOCUMENT ID: 1) 2) 3)
4) 5) 6)
FEE & PAYMENT SUMMARY
ITEM DESCRIPTION QUANTITY FEE AMOUNT
SEPTIC REVIEW FORM 1 45.00
TOTAL DUE = 45.00
TOTAL PAID= 45.00
BALANCE OWING= .00
PAYMENT DATE RECEIPT# CHECK# PAYMENT AMOUNT
06/08/95 00005010 6950 45.00
PROCESSED BY: JOHN LARSON
PRINTED BY: WENDEL, GLORIA
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