1975, 03-18 Permit App: K6927 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ,-
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0)4-
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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 State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department. J
AESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
TRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the lanI
rhich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
/ /, ,,APPLICANT FILL IN BELOW THIS LINE q y .2 0/
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Name of Owne —V/L -ii r • - Address
_ / -- Phone /
Architect I
Address Phone to o2 7 —ga(7b
Engines 1001Address Phone
Contract• —./ . " Address Phone
Le•a`"escription of Props■y , ive co plete descriptio from deed, tax receipt etc.) O //6y& _- OSv 5_
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DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. one / Fire ne
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Size of Loi // U ( `-1 c---)c---) r Sewage System - Const.
ir // -- / Q /// I `Fr., c. Br.,`etc.) a
Stories ,, ,imensions la) 1�j�O /y Total Sq. Ft. ! `l 1 ValuationP-�Nr S U Q a
Rooms ''' Baths Basement Foundation Const. �--e't-A-+ti/ Chimney Fireplace
,'j /(Full, part, none) �J �j (Kind) (Num er
Heat. System 5( Cl Type of Roofing ��{I1V�{) Ext. Finish 7-1/1 Int. Wall Finish �-� -121--1L,Use of Bldg. / o. of,Units 'nBe dro` nrys
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�� PLOT PLAN ����+ -
Draw sketch with dimensions showing: (1) property lines; (2) street or ro locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensio of buildings; (6) location of sewage sys-
•m and water supply lines. a 3 Z
NORTH ' cens,
.
s. . . No.
et efl „
REQUIRED
I ; Plumbing Permit
i m Heating Permit
N`i'k N Sewage Permit
♦, i1
Plans Received
II
!' Plans Checked
II
► 1 Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ify informs 'o s ed is correct and there are no other structures located on this p perty except
s7hown•y _
/Own or Agent Date
A LAND USE OR S RUCTURE PE MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0}_,I,) `' DO NOT WRITE BELOW THIS LINE
Your street address will
4.1 / 8 s'ii ANL-.9 •,r_P The zone is L
f Sewage Permit Number Issued Building !rmitti ,) Receipt 9s/.2( Issued
Remarks ��tl(
Form 523 Bldg. Code
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