1967, 07-25 Permit App: G4479 Addition FEB-27-1996 10 04 P.02
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'Ik.r4;5.LI ‘S.'14Z CoinI.y of Spokane. Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE__..... _*.<.......---:..-:.
PERMIT REQtIRED. 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. mere 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 mast be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit 'a 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 pane.' ' A_ - - . _'— __Address 13(F 6. J _ Phone
Architect / ' Phone ( ,Engineer d ets.A,/ Phone
Contractor 7,1 Address Phone .
Legal Description o Property (Give complete description from deed, tax receipt, etc.)
i / - i /
DESCRIPTION OF WORK: New Addition .- Remodel Moving
Bldg. Zn. Fire Zn. Size of Lot A v' '• 13, Sewage System Stories
le(PTIO TlNS.cTc.)
Constructiono. Dimensions /U i ) ' Total Sq.Ft. 7 5.47 ' Valuation /3.,,,5-0-'‘.
( co re"fe,SM)Ce,[Tc.)
Rooms / Basement Foundation Const.4—.,. 4 Chimney Fireplace,_-Htg. Sys. Fuel
(TOLL,/AIT,rONO rIMe1 I e.,AIM.ST(lq.(T�l
Garage Attached a of Roofing % -- /v Ext. Finish Int. Wall Finish/� /r . ,1/4„,:p
(OOuPeelTler IUIMIL(.(Te.) tem.. 4a lel (MLeSr!t 6rAete.l
Use of Bldg. ( J2.:14, 47:79-"' No. of Families Miscellaneous C
.' `fj/ 4i ".*'" PLOT PLAN
Draw sketch dimensions howing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) dista.nc to property lines acd streets; (5) dimensions of buildings; (B) location of sewage sys-
tem and water supply lines.
NORTH 7 Ili`^ - State License No.
- • 60 • - 13o. Ind. Ina. Acct. No'. •
r1'
14.5, REQUIRED
il
n,
4E - > Plumbing Permit
tn1 WO
miL.
Heating Permit
Sewage permit
SOUTH
I hereby certify information submitted is correct and there are no other structures looted on this property except
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.,..a.....-Azi lb cV**9'" Owner or Agent Date
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT WAITE BELOW THIS LINE
Your street address will be_��j/�/ '� C Jam_ ,_od_ N The sone is /7,0„.,,,.."
Sewage Permit Number Issued Building Permit:'.,:" Receipt i ei• iss d /
Remarks •
Form 523 Bldg. Code