1978, 03-02 Permit App: M5041 Residence4
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L71
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT_� a a
GENERAL REQUIREMENTS PERMIT FEE ----- �..�_------------
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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.
NATER. water supply must be approved by the County and State Health Departments. Where work on water connections disturbs t -
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.
j 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.
i
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 BELOW THIS LINE
Name of Owner717 J -27 Address v Z hone 6? 7- 40 "L -3
Architect Address Phone
Engineer Address Phone
Contractor Address Phone _
Legal Descrip ion of Property (Give complete Jescriptin from deg tax receipt, gtc.) ,parcel Number
)WAY R/W WIDTH 7L/ �_ 1—
DESCRIPTION OF WORK: New �_ Addition �- Remodel Moving Bldg. Z ne Fire Zone
�./1V¢;;
-7 < '
PLOT
Size of Lot 4 2 o
A ';2C`
� /
SewaSystem 5P onst.
Sewage
(Fr., Conc., B . j A
f ,
�%1.Z �.l'42 7~ d X Tor tal Sq. Ft. � � � � valuation '
AJC ~ '� Yr0 fr % %Y �Ji.Z
Stories Dimensions
Rooms Baths 2, Basement Foundation Const. Cd' t,Qa+T
Chimne QSO± Fireplace Z'
r��- Fu I.
part, none CactDG�-�/
(Kind) (Number
" ` Int. Wall Finish O/QTear r
Heat. SystemF�C /G/4
Type of Roofing �- -
Ext. Finish
Use of Bldg. /ZX�
-
nits Bedrooms
No. of Units—Bedrooms
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
I hereby erti
as shown` �
JC
SOUTH
tion submi t.t¢d/ is cor,,pect and
State Licens No
Ind. Ins./Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
1s
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
b- - 7
Avner or Agent Date
ALA D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS NOT A PERMIT.
Z41L DO NOT WRITE BELOW THIS LINE
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-Tour street address will be l � '! e zone is '
Sewage Permit Number Issued Building PermitReceiptssued
Remarks kE--
Form 523 Bldg. Code
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