1976, 02-23 Permit App: L2706 ResidenceIAPPROVEDAsNOTF
Spokane county : g. Code D; C& my of Spokane. WasflTn toll
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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GENERAL REQUIREMENTS
PERMIT FEE
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 LI E 4/a7 �j }
Name of Owner iii 2 i i "/ .i.' Address Phone
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Architect / Address Phone
Engineer Address Phone
Contractor,./i71�e---- Address p
14gAl Description of Property (Give com tete description fr d ed, tax receipt, c ) Gt%Le
' , d ! U x.9._ , A. / l' `(` A/ c��. / //I!
CCK,
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories Dimensions '' XC
Rooms c2_ Baths Basement �/ %I Fou
(Fu art, none)
Heat. System Tyr of Roofing
Use of Bldg.
Remodel
PLOT PL`
Moving
Sewage System a 7-- const. Fwd--YA-a
(Fr.. Conc., Br., etc.) K,
T al Sq. Ft _51,7-Valuatior -56,5,29
Chimney Firep e /
�---- (Kind) (Number
Finish / /—/l Int. Wall Finish ��.4-..i /
Bldg. Zone / Fire Zone
ryti
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No. of Units Bedroo
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.
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--RESIDENTIAL--r COMMERCIAL
I hereby
as shown
SOUTH
State License No.
Ind. Ins. Acct. No.
74
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
.41
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information :.mitted is correct and there are no other structures located on this property except
Owner or A: nt
Date
A LAND USE OR STRUCT E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LINE
—(CP
Sewage Permit Number Issued Bui
Ing Permit
The zone is
Receipt
ssued
f.
Remarks
• Form 523 Bldg. Code