1976, 02-05 Permit App: L2562 ResidenceClutnty of Spokane, Was&gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 /�
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a
GENERAL REQUIREMENTS PERMIT FEE -- --------
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of spy,
kind or alter any building or structure already erected. or to change a laad use. Construction mast conform with the
"h man County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply most be approved by the County and State Health Departments. Where work onwater comections disturbs
the surface, shoulders or ditches of Comfy Rome, permission must be obtained from the County Englmeer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions New. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and ander most circumstances, s setback 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.
COON'1'T ROAOS. Work on street right-of-way may not be performed unit' staked by County Mad Department and work must be
performed in accordance with stakes. Points of ingress and egress most be approved by the County Engineer.
OVING OF BUILDINGS. A permit Is required to move ea existing building. When a building is mowed on a Comfy or State
ghway, clearance net be obtained from the County Engineer and/or State Highway Department.
r ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RFSTRIC IvE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the ]and
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedlcatlical
(/���� APPLICANT FILL IN BELOW THIS LINE,
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Name of Owme—
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Address - "- -•
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Architect
Address I" L"
2 Phone
Engineer
Address
Phone
Contractor
Address
Phone
Leua1 n
Descriptioof
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Property (Give compjeta de criptian�rn
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m peed, fes a ipt, .'r)) t
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DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Z e.S�
Size of Lot Ilii (.I+7 Sewage System
Stories Dimensions �`T� /� a' Total Sq. Ft.Z i2l Ji/ Valuation 0
Rooms 4 Baths Basement Fountlation Conal w'-�� Chimnsy Fireplace
Fu I, part, none � (Kind) (Numb
Hees Sysism Type of Rooting Esc Finish -T' — U Int. Wall Finish
Use of Bltl No. of Units— Bedr ms
PLOT PLAN
Draw sketch With dimensions showing: (1) property linea; (2) street or read locations; (3) location of existing and
oarmed buildings; (4) diet ... o to property linea and streets; (5) dimensions of buildings; (6) location of sewage sys-
temm find water supply lists.
NORTH RESIDENTIAL -COMMERCIAL 54
In I ct.
71 1
REQU RED
Plumbing Permit �-
Heating Permit
Sewage Permit
Plain Received
Plans Checked
Plans Returned
Plans Picked
Plans Mailed
SOUTH
1fy infgprytGtyion submitted is correct and there are no other structures located as this,,froperty except
' Owner or Agent v Data
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
You street address will be10(/
Sewage Permit Number Issued
Foam 323 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Building
zone Is
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9 rIVD •�
F.H.A. APPROVAL ONLY
SPO. CO. HEALTH DIST.
0/74--
0 #103
/74--0#103 1SIA
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