1974, 07-15 Permit Ap: K5330 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT '31 >_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 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 j
Name of Owner,' i ., d--- Uel -, ` :-. &-- Phone_ •(= ` -a'7J'
Architect 40.1v Address Allea020.62. Phone
Engineer '- J .Address 9. "y Phone
Contractor .0111,9.f r� - %ems iSelddress — Phone
Legal De iptioeof P oper( 've compl to description from deed, tax receipt, etc.)
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DESCRIPTION OF WORK: New Addition Re odel Moving— Bldg. Zone / ire Zone`--9
Size of Lot f Q n ' k /C.zc9 s Sewage Systemk Const. --v-A--L....
/ ',/`. (Fr., Br., etc.) :
Stories__L/ Dimensions � ' X 44_ l x -� L Total Sq. Ft.� @ Valuation if Q9, Ste-)
Rooms V Baths ( Basement i 11 Foundation Const. '-e--✓S., Chimney AviCtC2 ,Fireplace I:9Full, part, /, / (Kind) (Number
Heat. System Type of Roofing Ext. Finish_ r� St'l Int. Wall Finish4.
Use of Bldg. _ ,--)--/j4 .7C-e.- -r,- ,-7_ n -c7.�-� •No. of nits h.Bedrooms .�-L
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�� PLOT PLAN / �� I'
sketch with dimensions showing: (1) property lines; (2) street or road locatio.:, (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH �' '40 State License No.
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♦ Ino. Ins. Acct. No.
‘0 744/7
914/7
U\(‘ >% ) REQUIRED
M11 Plumbing Permit t
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- Y 6 4 !'n+ Heating Permit
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"I/ Sewage Permit _tea
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Plans Receive.
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Plans Checked
Plans Returned
Plans Picked Up
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Plans Mailed
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ereby ce�,t ify infor�t' submit 7:• is orrect and there are no other structures located n this property except
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ass n. r'—7 C /'
Owner or •gent Date
LAN 'USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS N.1----A A PERMIT
1 , /� �, • , DO NOT WRITE BELOW THIS LINE
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Your street address will be L7� � �' ,4,L:,.„....�� The zone is ry- �r
Sewage Permit Number I ued Building Permit,-�'(1 Receipt G:5. / Issued
Remarks
Form 523 Bldg. Code