1977, 06-22 Permit App: M2025 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT,'�/N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i,SD'a
GENERAL REQUIREMENTS PERMIT FEE
PPAMIT REQUIRED. A land use or structure permit is required byCounty 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,
VATER. later supply must be approved by the County and State Health Departments. Where work on rater connections disturbs
the surface, shoulders or ditches of County Roads. permission must be obtained from the County Engineer's Office.
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SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 arty 44.235.
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 HIGINAYS. 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 cheek 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.
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APPLICANT FILL IN BELOW THIS LINE « X992/6
Name of Owner /, IiLA.�/y.r/ef lli/.e(.}mrd: 1.r. , Address / - _i ..� . I: Phone
Architect Address Phone
EngineerAddress Phone
Contractor �A9.,vNJ Address Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number pTN a seii11-O / da
F £{0,90
Ai, /...161 [ nr MB125 SUR
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone 1 Fire e
Size of Lot XD, 9D x /at Sewage System .Y✓9
: / CConiLfln'N4�
l / i , IFr., t Conc., Br., etc.)
StoriesrA Dimensions /8X 37X-? f.2t/'X24 1- EX/ 49 DEC/C Total Sq Ft. y93(�'yaalI/uu,ation DDD
Rooms •'1- Baths .a Basement APT Foundation Const (A4 -r_ -,wt Chimney ._ :replace
,+ Full. part. non/ 2'14 -
(Kind) (Number
Heat. System A.4.:PA Type o//yYp�Ro�ofing • Ext. Finish /]/IOn/ ./ Int. Wall Finish
Use of Bldg. Td .f hLLI P it
..e^ /..e^ No of Units _Bedrooms -i
PLOT PLAN
Draw sketch with dimensions showing: (1) property linea; (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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- COMMERCIAL
REQUIRED
Plumbing Perndt
m Heating Permit
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r Sewage Permit
Y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Malted
SOUTH 4
12
I hereby c y floe act and there are no other structures located on this property except
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/ H -77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
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Your street address .111 be /y (y 8 -ab / ppe zone is
Sewage Permit Number
Remarks rJ Issued Building Permit jtC" .7/ l's Receipt 't 7 Issued itaddZIL
as shawns
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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11V THG STATE OF WASH IN'oTON •
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LAND -MARK SURVLYORS
SOUTH 7±±6 LIBERTY DRIVE
LIBERTY LAKE, WASH.
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