1971, 11-18 Permit App: J1366 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
- —.1 a .. m e PERMIT FEE... -.P 91f.__._....
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PERMIT REQUIRED. A land use or structure permit is required o y toucherty Resolution to use. erect a ects trbuilding or mast structure l th W
I
loo or alter any huilding or structure already erected, . lend
Spokane County Building Code and Zoning Ordinance. Construction is su1URCt to inspection.
WATER. Water be approved by the County and State Health Deportee uts. There work oneater confetti..
suDPly must disturbs
the surface, aheulders or ditches of County Bonds, permission must be obtained from the County Englneer'e Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nee. 45-333 and 49.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a et -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.
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STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to net -back and +!agrees
find egress.
COUNTY ROADS. Work on street right -of -Way may not be performed until staked by Comfy Road Department and work Lt be
performed ,1n accordance with stake.. Points of ingress antl egress must be approved by the County Eagireer.
MOVING 0m BUI-LDINGS. A permit Is required to move an existing building. When a building Is moved on a County or State
Highway, clearance ..at he obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
s add
wRESTRICTIVE are enforceable throughrcivilnld check action. Countynions of 0 ficialssvenants or car not bring actionnto enforce covenantsrunning
ior dedicationsnd.
APPLICANT FILL IH BELOW THIS LINE„
Name of Owner MwJa` Y g
Architect
Contractor
Legal Description pf Prop
(Give
_Fog inset �(�
Add ress_' �.t >_� Ph up
iptton it. dad, to. rakyipt,oto.) I.'
DESCRIPTION OF WORK: New Addition Remodel _ Moving
_ Bid . ZOn _—l --Fire Zone
Size of of Pi � X 1 n 4 Sewage System Stories
nation � _�-�
Const. Dimensions aS A 3g /O Yzn Total Sq. Ft.
l Fr.me, concrete, brick, etc.) ,,yy �� x91 ?7 Fireplace �—
Rooms�Baths 4_Basementjld.Fouadation Const lv Ch eY
(Full, part none) �n, �� p (Kind) (Num e
Heat. System_A D0Js Type of Roofp'y�g �' T Ext. Finish P Int. WWI Finish (Nom
of Bid,. Q x—'^' `'^ No. of Units __ Bedr ms
Oaroge or enmart Alla, hed U cgLA X11 Private octelrbed
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or read 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. 6t nta License No.
NORTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received .
Plans Checked _
Plans Returned
Plans Picked Up
Plans Mulled _
7
SOUTH
I hereby cRtify 1 moon tisubmitted is correct and there are no other structures located on this property except
as shorn. _ �
_L1-61
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Owner or 4jest r Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be _i —o— e ease
Setage rmit berg lMqu Bui ltling Permt Recefpe
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_ Y.R.A. APPROVAL ONLY
SPO, C NE T4 DiST.
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