1978, 07-05 Permit App: M7073 Pool 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE.___31
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 SPbKANE 99zoh
Name of Owner DON ALD • 1WW I LC O)( Address E,C{ /ptoo41 TI'f t4Ur- Phone 124-Y12-1
Architect Address Phone
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Engineer Address I'12H- Phone
Contractor POOL VJ O PLD/ NC Address F. l3 T zLf' sPKANUE. SI'bkANIV, phone qz8-6 Sd'5--
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 20.5111 /71?
N yes n i=. /to 3, /o ' EK c_ i=- 0 ir 7 Acfcr, 236 0pPaK-ruF'4iTY
ROADWAY R/W WiDTki Io' / Fire Zone
DESCRIPTION OF-WORK: New X Addition Remodel Moving Bldg. Zone
Size of Lot 70 I X .rlO1 Sewage System Nk Const. vi\41L--
(Fr., Conc., Br., etc.)
Stories ANI D Dimensions 2`f PIN POUNTotal Sq. Ft. ii" --4 Valuation liPOO
Rooms NA- BathsBasement d__� Foundation Const. tIIN`IL Chimney N1� Fireplace Na
Fu I, part, none) (Kind) (Number
Heat. System t LE'T Type of Roofin N'Pr Ext. Finish UfNLY Int. Wall Finish NN
Use of Bldg. Si41 I MAN WE/ Foal--. pRi t 1FTi€) No. of Units—Bedrooms .WA-
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.
OK- aN 1 Lt.
Ind. Ins. Acct. No.
LITH- VE- 76 P/1-
SIDENTIA -COMMERCIAL
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REQUIRED
Plumbing Permit
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Irr1t4 in Heating Permit
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ROM
e \ o N Sewage Permit
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Plans Received
bcD,
361
Plans Checked
MID Ttp Plans Returned
- 3WIMM11J4 Pians Picked Up
POOL
74 \ Plans Mailed y
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/ 70 P./L. ���
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I hereby cer i I tion •ubmitted s correct and there are no other structures located on this property except
as shown. J /��►
/ I /C=�1_ 1_, i A A__ t L •
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I ger +r Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISE BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE 1� I
U 0
Your street address will be E. niS) < 1-1-1 1�,C9)_, 1 The zone is AARICIAt-741ZAL,-SLIB
Sewage Permit Number Issued Building Permit Receipt 4/S35-Issued
Remarks
- I
1
Form 523 Bldg. Code