1971, 11-01 Permit App: J1194 Repair Fire Damage _.
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County of Spokane, Wodijiston
BUILDING CODES DEPARTMENT, COURTHOIrS7, S:'OKA° o:, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT d_/-
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GENERAL REQUIREMENTS PERMIT FEE__A
PERMIT REQUIRED. A land use or structure permit is required by Ccunty Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land ❑se. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is suhioct to inspection.
WATER. Water supply must be approved by the County and State Health Deoartmsots. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must ho obtained free the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nc. , 45-133 orad 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 he 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
whi re enforceable through civil action. County Officials can not bring action to P. o .e covenants or dedications.
/��APPLICANT FIILL Iti BELO i THIS LINE ��_ _ /O,
Name of Owner S� ��__ .r1��/� Address �7 7a6 -` �e Phone (ot�0 6. g3.;s2.&
Architect Phone Engineer _ _ ss y�Ph�oone LL //
Contractor � OYrQ� , Address 1 = -iAf . /, 7 9°''V%e AIC° 3 —6 y77
Legal Descrip ion of Property (Give complete description
�from
mddeed, tsx ce' , etc.)
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DESCRIPTION OF WO K:New Add* ion Remodel wing Bldg.Zone / Fire Zone d
Size of L;,' � J� �U)1� J
Sewage System _
Cons /-I,.��. r mensions o2'sz.r 7/ Total Sq. Ft. 1.0(1-) Valu ton (9 0-6t-e)
(Fra 1•, cr e,brick,etc.)
Roofs 'laths 72- Basement Foundat'. Const. Chimney Fireplace
(Full, part, none) Adi (Kind) (Number)
Heat. System Type . Roofing ..i fAi. Ext. Finish Int. Wall Finish
Use of Bldg. _.....0"411W—_,........s/i _/ 4.. j / _
.• /
� .t No. of Units Bedrooms
Garage or Carport Att.ched
L �� Private Detatched
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.
R T H State License N .
•
Indlift ct. No.
— REQUIRED
7
Plumbing Permit
m i_ Heating Permit
m E
Sewage Permit
Plans Received
Plans Checked
ii
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information sub ' ted - con et and there are no other structures located on this property except
as shown.%-
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Owner or Agent /� Date
A LAND USE OR STRUCTURE " RMIT MUST BE ON THE PREMISES QEFOP% CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO N7 W.,..6BELOW THIS 0-II' '� _
Your street address will be
'T�.e zone is %/. _ --_ �•
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•
Sewage Permit NumberIssued 'uildi;g Permit /_/ SCpereiot(7 ' /Issued
Remarks /
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