1978, 02-10 Permit App: M4854 Residence1
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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
PL+RMIT 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 tfie
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 BELOWfTHIS LINE j 7'/ C c� /J� (-
Name of Owner _ 5' B %` �-Bi' i.Li_e e.:,.. Address 4 . /20g 160ese /u(_ Phone/� 7'V 32 9'
Architect Address Phone
Engineer �-7 Address Phone
Contractor Address phone
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Legal Description of Property (Give complete de= fro dee tax r ipt, a Parcel Number a -
DESCRIPTION OF WORK: New
Size of Lot
Addition Remodel Moving Bldg. Zone Fire Zone
V' ' ,- l -2 S--
(� Sewage System
StoriesLDimensions / ' ,r.2 i' '7'e�. tY 2.. ; t//'f"2'2 Total Sq.Ft
Rooms e _Baths Basement i.'-11 e0,1, -c Aze
"2(Full, part, none) Foundation Const 77— --
(Full,
Y ype of Roofin. %
Heat. System � ? L /i¢ .T � �'%'t Ext. Finish
Use of Bldg.
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 sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
nst.
Fr., Conc., Br., etc.)
d
A y
mney�'Fireplace
( K' ind) (Number//
Int. Wall Finish A4r, "Q
No. of Units __Bedrooms 7—
IRI —
NORTH
I hereby certify information submitted i
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS N T A PERMIT.
Yotfstreet address will be
Sewage Permit Number
Remarks
COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
e are no other structures located on this operty except Pr
DO NOT WRITE BELOW THIS LINE
V /2
Issued Building Permit
The zone is /�-
Receipt io �' )`Issued
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Form 523 Bldg. Code
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