1978, 09-22 Permit App: N0696 Residence _ _
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '7 00
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GENERAL REQUIREMENTS PERMIT FEE •-,:.--- •.t__.
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 64AI PlikV S CAVY. - -4/C. Address S'-5-- -2./Mai.Owx a2 ' Phone 9-e*–q33/
Architect Address Phone
Engineer Address Phone
Contractor 5..1 Address .S.ayn Phone 9.7 /r/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Hg~`/V– " 92,1
T/c,d c-r d3 s'ezlalf-r PL2 T' 7 8 -al /VI (/y S.&'c__. !y r .zSW .fes ,'�
/
ROADWAY R/W WIDTH 5b
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 8o X /00 Sewage System S7y '7Y - onst. �Z'0m�
p lFr., Conc., Br., etc.)
Stories /F-�Dimensi s �'y/ 62,i '�' 4 Yi3 Total Sq. Ft.� Valuation 9d 3477C
Rooms 5. Baths Basement ULe- Foundation Const. lliCt-E TQC- Chimney Fireplace
Fu 1, part, none) /� (� (Num er
Heat. System 8,(/. Type of Roofing CIDN^-12 Ext. Finish CGAV e1=13 Int. Wall Finish DS «,e'Z-e---
Use of Bldg. •5" .iv6L< F/f9)7/ , A.7..6.5J jep "--1,C.E No. of Units_Bedrooms Z
E/WW7E '4- QfGK. 9TT'f-c-i+E.n
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 sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
U•0 /1/61"5' ik 2334Z5'
Ind. Ins. Acct. No.
j"( ESIDENTI –COMMERCIAL
.A4e----.) REQUIRED
/ / iy1 Plumbing Permit
���7' 9G�'/ r ii en Heating Permit
n. fe
CA / N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH „,e
I hereby certify in'• ..., i -, is correct and e are no other structures located on this proserty except
as shown.
Ow, r or Agent Dat-
A LAND USE OR TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
OW AAP V q/zql DO NOT WRITE BELOW THIS LINE
Your street address will be Al111 5 L)j s^EN RCIAAD The zone cies M .IG(dyT(A 4L
O
Sewage Permit Number Issued Building Permit Receipt Y/7 7 Issued
Remarks o6 96
Form 523 Bldg. Code
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I PLOT PLAN -I
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REPL.acFane,JT dinar' 1..
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0'25)0 ,
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LEGAL: 7�i?Vc7 3 - Sijo/'-r Pz.oT VAN PARYS ENTERPRISES LTD .
926-9361 or 928-1816
7� Gi 7 /1/�k S'' '' .- 7 Z Z/ /425/.2-
" 141 is..) DATE : .,..„v7
�Poh;ii.v c/u r% �j
POWER:
SCALE : _._ --.
ADDRESS : Gl�f1.Q,,.*Ii /fr - 1 12 x %L r /y 5"y Z - q 2 28
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