1977, 03-21 Permit App: M0019 Residence Is'
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Cointy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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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 dist rbs
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, o 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.
Ao.LICANT FILL IN BELOW THIS LINE y lg.
MA
Name of Owner AIM& illPillir Address S Phone 9 ` 7�_
Architect OF Address Phone
Engineer Address Phone
Contractor --CCP - Address LJ �Pho e
Legal Description of Property (Give complete description from deed, tax receiVpt, etc.) 7 cd/
alw
DESCRIPTION OF WORK: New Addition Remodel Moving Bld . Zon / Fire e
Size of Lot 300 )C" i S-6 „Jorge age System onst cnTc r
v , �C �Fr., Conc., , .�'
Stories Dimensions 2.-axle � D-2X.�X/d Total Sq. Ft. 0� Valuation Sceafillb
Rooms Baths .L-- Basemen ' Fo ation Const. ChimneFirep .ce
ul , part, no (Kind) 1 u •.
Heat. System Type of Roofing Ext. Finish /"" / f/ Int. Wall Finish . ' Taw
Use of Bldg.�.d✓�t.-- Oma.-_. _ No. of Units Bedrooms
PLOT PLAN
Dr: sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
pro.::ed buildings; (4) distance to property lines and streets• (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH ESIDENTIAL -COMMERCIAL State Lice se No.
iii, Ind. Ins. Acct. No.
lip�� REQUIRED
Plumbing Permit
m Wo
P- Qe}+� nnHeating Permit
NH Sewage Permit
P -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I herebycer in rmati n sub 'tted is co ect and there are no other structures located on this property xcept
as shown. ` ` /
Owner or Agent -2/ 7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
///J //ia -
Sewage Permit Number Issued Building Permit Receipt 7 . �I.ued
Remarks , The zone O 4 1 G
Form 523 Bldg. Code
44
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