1977, 08-29 Permit App: M3219 Addition i•ce .%
County of Spokane, Washington 4; :Ea;%
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99211 AJ.
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT r 3 fi
GENERAL REQUIREMENTS PERMIT FEE ----, 4 -
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PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or • Ire of any
kind or alter any building or structure already erected, or to change a land use. Construction must co.-47. , wit. t.•
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. /I �-_!_
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connec o. ':ii,1 urbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Offi 4 •D A
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 dedica
APPLICANT FILL IN BELOW THIS LINE
0
Name of Owner ., _ -_ _ _ 'Address _ .�t 4. - Ph e 47.?---/31/
Architect Address Phone 1
Engineer �ddress ,�,/ ,,f Phone
Contractor I- /fie ��`Ijddress &.8/0 " ' j' Phone Ya_'`__
Legal Description of propeqy (Give compl to descriptio�nfrfrom deed, tax receipt,-etc.) Parcel Number
,--, 1-- .7" 1 .•ei.s..-E.-A- .4. ',-4,WZ'...i-, i
%Y 't G �!" ts- i, ' 'f'.
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone I Fire Zone
Size of Lot 67.-3 ' x /t Sewage System — Constr., C.onc�j •-etc.)�.-c -L'-'�
(F .,
Stories f Dimensions :--4/ / J- ,'� / Total Sq. Ft. `' 4.� Valuation '6--(.10Rooms Baths — Basement // � Foundation Const.�C �-c- Chimney Fireplace
Fu I, part, none, (Kind) (Number
Heat. System A- Type of Roofirlp Ext. Finish _ T`- // / Int. Wall Finish -------
Use of Bldg. 1...A. z%1_s2�, IQr•e� A•y-e/�:"f 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
c) / - /5.:`,770
Ind. Ins. Acct. No.
r
ti RESIDENTIAL-COMMERCIAL
REQUIRED
Plumbing Permit
,� ��
in Heating Permit
Yo
nz 12 in
Sewage Permit
N.
Plans Received
\/41
Plans Checked
Cvsey�` Plans Returned
N
Plans Picked Up
3 i Plans Mailed
f
'' -t-L-41"4‘)„,....----"' SOUTH
I hereby ce frynnfor n s�ubE ed lorrect and there are no other structure located on this property except
as shown. / ec
,� (i . • L z/l ,,-' .2 1/1'1
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. -7---------7----
DO NOT WRITE BELOW THIS LINE 9/"` ' Z �--.2_- `, « - j'
Your street address will be / �: /'1_ G2_
(i< C.1 l� `� -(Ln/'t/ The zone is o�c-- �' 7�-t,..
i iop" - Z s 2 '7SzL -.
Sewage Permit N •er _ �Iasue�
Issued, Bu ling �ermit //� Receip
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Form 23 Bldg. Code � �"��� ilt,,,,flos �� (1
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