1974, 08-09 Permit App: K5463 Pool County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT . `/
GENERAL REQUIREMENTS PERMIT FEE
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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 99-71‘ - !/ �7
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Name of Owner- i ' Address -- t ��7• A — Phone ' //
Architect f / Address _ Phone
Engineer c� U Address �/J , Phone
Contractor ��LP C`-{�-Q- - Address c---
Y` _ .� ifi --c-i.,.6- �� " ' Phone �"?C -/S�'�
Legal a ription of perty,(C a complet scription from deed, tax receipt, etc.) -' '- -
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r 1/ - , ,7_1 _ :�7 - r _./..,_....2,...</1.,`-.0.." 2 dig,_ d19/--ie.,ez.----7`:e -cam---3/ -
DESCRIPTION OF WORK: New l✓ AdditionConst.
dition Remodel Moving Bldg. Zone ( Fire Zone $ -
/../-0Size of Lot U ��G / Sewage System
c (Fr., Conc., Br., etc.)
Stories Dimensions /5 X , Total Sq. Ft, Valuation CS O o Cl
RoomsBaths Basement Foundation Const. - Chimney Fireplace
(Full, part, none) (Kind) (Number
Heat. System Type of ?oofing 40 z.. Ext. Finish ' Int. Wall Finish
Use of Bldg. t ��. _ ��- i� , No. of Units_Bedrooms
PLOT 4, N
Draw sketch w(th_dimensions showing: (1) property lines• treet or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and strl ets• ( dimensions of build•1:s; (6) location of sewage sys-
tem and water supply lines.
NORTH --0---a-e__ / State License No.
c9a3 - o / - //3F `
c11 Ind. Ins. Acct. No.
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`" �
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v REQUIRED
j Plumbing Permit
rn � Heating Permit
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H . I tn Sewage Permit
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Plans Received
Ir i• Plans Checked
`. Plans Returned
Plans Picked Up
/-g-73? Plans Mailed
, ••-SOUTH
I hereby certify information submitted ' corre and there are no other structures located on this property except
as shown' 7 , 7 f/
nef5-5---1 Q�or Agent O Date 7`
A LAND USE OR STRUCTURE PERMIT MUST E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /c1,37 4_ g - - / The zone is _ I . 441, _ •.
Sewage Permit Number Issued Building Permit i ," Receip' :.2 Issued
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Remarks r ., L/ 3
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Form 523 Bldg. Code