1976, 03-10 Permit App: L2934 Residencey
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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 .45 400
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.
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.
99q-°
APPLICANT FILL IN BELOW THIS LINE
Name of Ownerjf 14 1:1- 0 4: VI 4 Address ," it2 S of rf Phone
Architect Address Phone
Engineer Address Phone
Contractor S a kit t= Address 5 cc "` Phone
Le al Description of Prop rty ( ive complete des ription from deed, tax rece etc.)
Or-
ql . Q ck .� � 0 #-� ,t I .. e Z'a tes
a� -e . -5`-1l 3a
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DESCRIPTION OF WORK: New Addition
I cryi
�,�►//rrDimensis ? X
D
Stories Qti., G/ X 5 O ^ !�
Rooms Bat � 8 '� ` F
Size of Lot
Remodel Moving
/71x/
Heat. System
Use of Bldg.
Bldg Zone Fire Zo e
System . 1 Const.
(Fr., Con
aluation
fireplace
Total Sq. Ft
asement if,o n ''e �c i Chimney
Full, part, non lou, 414f - (Kind �,/(Number
Type of Roong 4 Ext. Finish MI05- Int. Wall Finish a�"�
No. of Units 1 Bedrooms
s t'd� w f 94,u _ 1 dtaz_ ifetit.L1Lc.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
N
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of se a ys-
RESIDENTIAL ,OMMERCIAL
State License No.
v
Pf 6- 14
I hereby cer fy inf
as shown.
UTH
tio•_subm
"3--6 I -(e a 7-3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 17,13
Heating Permit Pr eel C c
Sewage Permit tebit 'T I Os -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cor ct and there are no other structures 1
ted o his property except
Owner or Agent Da
' A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE C • NSTR, CTION COMMENCES.
THIS IS NOT A PERMIT.
(`;.,_ '114 DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
5[2 •Safr2ttLs-u:
Building Permit
The zone As
.9_y.3 Receipt UOV a2 Issued
7
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R.
R. H. HOOVER, INC.
REALTORS
E. 9207 tvlil.';',EION
SPOKANE, INASI-ili•GTON 99206
PHONE 924-9520
Z f 12 1...) MnOR
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L22.11:ArC77-CAi 11
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