1972, 10-24 Permit App: J4838 Residence _ . _.
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• County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT y# 0c7
GENERAL REQUIREMENTS PERMIT FEE l
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.'135.
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.
MING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
fH hway, clearance must be obtained from the County Engineer and/or State Highway Department.
A CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
R,STRICTIVE 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 Owner $/1I JJ --4?/;t T 1{v.4r-s _I.rrr . Address 790 .5,''-/Ye. Phone 6!2/26-11-6 4
Architect 5,1_-it P Phone Engineer Phone
Contractor ,///?..-r?e. Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
/ _.
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot 7 '6 X /5-6 Sewage System -5'(y3 7 e, Stories
Const. Tr �7f Dimensions A' 4.)._ Total Sq. Ft. p092... 1—
Valuation �.6f CID
(Frame,concrete,brick,etc.) --Fs
Rooms Baths J Basement /E-f-3/-1--- Foundation Const. CrIA/e-P-r/r' h ,/ 7 .L_ Fireplace
(Full, part, none) (Kind) (Number)
/L, T /� /
Heat. System
�, ype of Roofing (.i�r'�'I y� Ext. Finish .5 1ryrul/ Int.Wall Finish j/��/u//3 AL
Use of Bldg. ,'t'S 1 c4,-..4../7" No. of Units / Bedrooms_.L
a! or Carport Attached 1.. --1/ r 6/771-1a9* r H 7 71c-A&r ' Private Detached
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PLOT PLAN
iraw 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. State License No.
NORTH
/6—O/-73 , D/ —//22
Ind. Ins. Acct. No.
_) e c q) 71/4 c X--e W
�/e , /0 /aW REQUIRED
- /e7 / Plumbing Permit r 4-e1"—
u e0m
Heating Permit UN i /POD'
to Sewage Permit Gov-�--v;-e%y h>'z-yl
0
i -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I' e� certify informati submitted is correct and there are no other structures located on this property except
as show
-.�� ii." ' o ��/��% /0"v2h1 7
Owner or Agent Date
A •ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NO A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be // i d..4 ,e zone is
Sewage Permit Number Issued Building Pere _ Receipt y6 7.,i---- Issued
Remarks
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