1974, 10-24 Permit App: K3144 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT - - i
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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 4ate
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACSSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RiSTRICTIVE 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.
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APPLICANT FILL IN BELOW THIS LINE' a.„0, . g2.,
Name of Owner X
ddress / 0 6 2,a ( 9 61 Phone ItAl '-65,(7
ArchitectPhone Engineer Phone
Contractor Q� -' Address Phone ca /06-
L l Description ofd Property (Give comp ete description from deed, tax receipt, etc.) / 1---/S—
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DESCRIPTIO
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DESCRIPTIO OF WORK:New Addition Remodel Moving Bld•/Zone 1 Fire Zone .�
Size of Lot l S Sewage System ��.. r..-- Stori -.2 "I
�� Const. Dimensionstf �YG Total Sq. Ft. / Valuation �� `
(Frame,concrete,brick,etc.) ! j
Rooms___5- Baths_l_____BasementFoundation Conateif Chimney Fireplace `�-,
(Full, part, one) (Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. / -7.--eQ,r`--ev ' -/ ___________________________No. of Units Bed oms
.e or Carport Attached
Private Detatched
9 �
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�/ PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locati ns; (3) location of existing and
roposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH ate
d. Ins. ct. No.
g >2.
REQUIRED
Plumbing Permit
m Heating Permit r
m vi / H Sewage Permit
-i / -4
Plans Received
Plans Checked
Plans Returned
Plans Picked U!
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
7 •,low?,..----rz,„.y
Owner or Agent Date /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
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Y street address will be J i.- .� 741
�/ �-# se zone is e
SeM7age Permit Number Issued Build',g Permit �7f� Receipt I Issued
Remarks C,2.Zti�(.�4' 0,---7.-L '74./AL .1 3`' ` ! b
Form 523 Bldg. Code
ALLEN R. OSBORNE
Building Contractor
WA 4-6547
10822 East 20th Avenue
Opportunity, Washington 99206
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