1975, 04-29 Permit App: K7371 PoolCounty of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 afe 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.
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APPLICANT FILL IN BELOW THIS LINE
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Name of Owner � .. �/� .I _ - ddress
Architect Address Phone
Engineer ' Address /'' _ // Phone
Contractor 4-41 - -.' i _ .1 ^ ,,,,,a_:"...,-._ _ - ddress( 53 2� �'�/�(w-�'� Phone 0--c/-2.-2-2C9
Legal escri/ of P rty (Giv. complete description from deed, tax receipt etc 1
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Size
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DESCRIPTION OF W. '/New r Addition Remodel Moving Bldg. Zone Fire Zone/ /i_
Size of Lot - j -�'� - Sewage System- .az.
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Stories �men sions RPO%- /C91 )«/ 01 ' -cck c J� .30 (j(( I Total Sq. F r1��
Rooms��9aths -----
Fu Basement Foundation Consi -e-r Chimney Fireplace
t, part, none) // �/ (Kind) (Nurt�pe
Heat. System A Type of Roofing - �/ - xt Finish /°'44 nt Wall Finish 42
Use of Bldg 01_11%--�� _...m..._,.....___��= / � ��-re _• X44. /�0 of U _ts .Jeedrnnma
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PLOT PLAN
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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 stree ) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
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Owner or Agent
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REQUIRED-\
Plumbing Pe
Heating Permit
Sewage Permit
Plans Reedy:
Plans Check
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other structures locar demon is property except
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Date
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A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
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Your street address will be t/: yew`L`�er, cZ
Sewage PermitNumbera. Building Permit
Remarks l�il'LA - ' ' r
zone is
Receipt
Form 523 Bldg. Coda