1975, 04-29 Permit App: L0038 Reroof '4
County of Spokane, Washington / ,
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
1
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0 .
GENERAL REQUIREMENTS PERMIT FEE s S.../
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.
ACC -.+''Y pUILD s cirpprj,byi .'ngs ( , sheds, etc.) require a separate permit.
•^!�4 CO Bui rs si• `d .- •' ' •i• o ovenants or dedications and easements running with the land
hich are enforceable throug• civil action. County Offici: s can not bring action to enforce covenants or dedic ions.
�,,•_,,�,r . -,41fy `�� • ;PLICANT FILL IN BELOW THIS LINE 9. GI6. of,/, e�
N•me of Owner a-.. a..//moi/./" - Address i - ��������`-- Phone- L-1-3V-/780-
1
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Architect �i .._.�_s /- ✓ice - -••.ress y riffNFIMMrPhone 5-3 s~ — 0/3(`_,)
Address �/ 1 Phone
Contractor � / �i��/
Engineer ec4_3 .5 Y��r� es 2_
Phon -, X'Jf�/ Address
Legal scrip JO Prop= y (Give complete2escription from deed, tax receipt, et.
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DESCRIPTION OF WORK: New / Addition `Remo ey._er• Moving Bldg. Zone Fire Zone
Size of Lot /0(3 I x S�D8 i ( //PSewage Syste�- ��� on
/,
✓ (Fr. nc. r., etc.) �^
StoriesDimensions 9 /9 x 29 fl Total Sq. Ft. Va atio
Rooms Baths - - Basement ----- Foundation Const. z,K/4 Chimney (Kind) re Fireplac Numb
Full, part, none)
Heat. System VV,4 Type of Roofing e X 2'7 Ext. Finish. Int. Wall Finish
Use of Bldg. �5y2 � r.../' -,_ �75 �--, ri-c-. ?J No. . Units_Bedrooms
C96PLOT PLAN i �,&Z--GZi
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat ..s; (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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NORTH RESIDENTIA �CO�ERCIAL Stat •�
GIno. Ins. Acct. No.
0 *- -e-K6)//XL-CY
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-- :�-�L � - �� `" z—jG'`� . REQUIRED fh i''''''e
` �' _____: :>) rn Plumbing it
HeatingPe
_ a
y N Sewage Permit
Plans Received
1 ., 40, Plans Checked
0y;
/ ,e�,J--r '7, /,.2 Plans Returned
_, ��' / /' jC� .- Plans Picked Up
/ Plans Mailed
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I SOUTH
h- esy :rtify inf- p. on submitted is .s -ct and there are no other structures located on his p operty except
. shown
Owner or Agent Date
A LA , OR STRUCTURE PERMIT M "11BE • THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS • A PERMIT.
_ DO NOT WRITE BELOW THIS LINE
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Your street address will be _%tom, / `AK% / �- _A,//�_� 7. 1" The zone is Ara •
Sewage Per'it N .,ber Issued � � sj•ilding Permit / 'Receipt 7i-3c) Is=ued �%� `-
Remarks -_� - '�---s•- _____ �i,lo ��_ :ri1 -.
AMMIde , ,,��II -
ter' I
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