1971, 03-24 Permit App: I3781 Residence County of Spokane, Washington
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT I ,j
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 47-255.
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 Owned I/ .t i it< . .ddress ��C.I—l!�0 1 I� Phone Wig olo
Architect Phone Engineer/+ Phone
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Contractor s'0&7ce ���e// Address '`O'V ZO �iir ,rr,�n y Phone B 6Z 4/
Legal Descr 'tion f .per . Give com.lete de criptiyn from deed, tax receipt, etc.) l
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:�, ,c.. (9.70 2/vSet lire"-ecg S- 2 S — (7 z
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DESCRIPTION OF WORK: NeweS Addition X494
Remodel Mov' g
Bldg. Zn./ Fire Zn._;- !Size of Lot /,2o Sewage Syste Stories 02
*� n ( EPT I C TANK,ETC. ) /r T(7
Construction_ Dimensions,0 �!I43uXA/IJX 14 Total Sq.Ft. <T/CJ0 Valuationt7�o V_
(FR AME,CONCRETE,BR ICK,ETC.) c_.? X 2Z^ n.
Room8/ra'.S' QAtA4Basement%.Zr/ Foundation Const. cane. Chimney�7Q,S'Fireplace �,Htg. Sys. Fuel e-S
(FUy/C PART,NONE) (KIND) W.,AIR,STEAM,ETC )
Garage Attached V Type of Roofing Car/7A Ext. Finist •ro.�i Int. Wall Finish £7'yafrO//
j (COMPOSITION HINGLE,ETC. ) (SO.,METAL,SHAKE) (PLASTER,DRYWALL,ETC. )
Use of Bldg. PCSI er,r e. No. of Families O17 e Miscellaneous
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.
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� ` Ind. Ins. Acct. No.
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REQUIRED
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m A Plumbing Permit, -- `,
N\ .0' tit
C -4 Heating Permit
0
1.)1 Sewage Permit
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I hereby cert y informat-4 Id ted correct and there are no other structures located on this property except
as shown. y_ __,;/7A /
/.i__ 1 re. ate. la ----
Owner or Agit I9 Dat
R /N TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT WRITE BELOW THIS LINE
-1 //.71 � /�
Your street address will be �i_� ,/ The zones�-�-f`�f � �<�� L.
SewagePermit Number Is� d_ B��/ging Permit,-- Receipt � ssued
Remarks 0:5 _ - - i5`e-e-r' •
Form 523 B!dg. Code