1971, 04-27 Permit App: I4164 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 740
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GENERAL REQUIREMENTS PERMIT FEE.._.f'D.._-----..
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of Bay
k1an or alter any building or structure already erected, or to change a land use. Construction meat conform With the
Spokane Cowry Building Cade and Zoning Ordinance. Construction 1s subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where Work on Water connections disturb.
the surface, shoulders or ditches of County Roads, permission most be obtained from the County Lhglneer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions New. 45-193 and 47235.
SET -BACK FROM PROPERTY LINES. In meet 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 25rear yard are required.
STATE HIGHWAYS. Where the structure abate a State Highway, clearance must be obtained pertaining to 8et-back and ingress
and egress.
COUNTY ROADS. Work on str9eti tight -of -way may at be performed until staked by County Road Ithortypt sad Work must be
performed In accordance with stake.. Point. of ingress and egress meet be approved by the County Engineer.
MOVING OP BUILDINGS. A permit Is required to move an existing building. When a building Is moved on a County or State
Highway, clearance meet be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory building. (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements room i.g with the land
which .re enforceable through civil action. County Officials can not bring action to enforce covenant. or dedications.
APPLICANT FILL IN BELOW THIS LINE
��
Name of Own
Architect �j-- —Pho.� Rngi.eer �Z Phone
Contractor _�-"•-C AGdrea. Phme
LegalDeacRl iuniov Y Propertty rp�ve complete description from deed, tax receipt, etc.)
2/-'�
DESCRIPTION OF WORK: New X_ Addition Remodel —Moving _ Bldg.ne Fire Zone3
Size of Lot Sewage System oris/
Cons0. �fw�S-Dimensions Total Sq. F0. Valuation(
(Rooms Baths i�Besemen i-
taw Foundation Const— Chimney Fire ace
(Full, part, none) (Kind) (Number)
Heat Syste pe of hoofing Ext Finish Z__/_ Al Int. Well Finish
Use of Bldg. 'L� No. of Urdts _ Be oma ---IF
Garage or Carport Attached Private Detatched
PLOT PLAN
' I Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed building.; (4) distance to property limes and street.; (5) dimensions of buildings; (6) location of sewage Sys-
tem and voter eemaly IIn...
NORTH
State Lice a No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
an Heating Permit
NSewage Permit
ti
Plats Received
Plans Checked
Plans Returned
Plans Picked Up
Plans MaDed
I hereby certi��f�T////}},�nfor t1 ubmitted is correct and there are no other structures hoc/.ted op this property except
a. shown. /1 /27 :
Meer or Agent
A LAND USE OR STRUCTURE PERMIT
THIS IS NOT A PERMIT.
You street address will beJ
Sewage Permit Number
Remarks
Form 523 Bldg. Code
Date r /
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
NOT WRITE BELOW THIS LINE
e zone fe t
Building Permit Rece1D Issued
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