1978, 01-27 Permit App: M4672 Residence 1
.4.
C d u . fy of Spokane, Wash gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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' APPLICATION FOR LAND USE OR STRUCTURE PERMIT
`/ GENERAL REQUIREMENTS PERMIT FEES
" 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 wi b 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 LINE
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Name of Owner L., A/ DCX14-1/I}1.S f aL AAddress gI. t' ROSCWete,a Phone 1747q-s426 o
Architect Address Phone
Engineer Address Phone
Contractor aft rr& Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, e,tc.) L.Dr 9 $,cf ee/ 7
W IL4Wn/ Pig/ye -bb/Y. fi4deeL ...?4,45-,3 / /a-
DESCRIPTION OF WORK: New I Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot .3'0 )C /3s Sewage System 36p71G Const. --r-,04-Th
(Fr., Conc., Br., etc.)
Stories Dimensions AV- K .3eo..f Total Sq. Ft. 912 0 Valuation 4/40003
Rooms Baths / Basement 1WL L.- Foundation Const. ( e-. Chimney/l7E7A-1-Fireplace
(Full, part, none) (Kind) (Number
Heat. System LASEEfy C.Et'•Type of Roofing COMP.. Ext. Finish *`/' /1' Int. Wall Finish .ht y'ivA.1..1--
Use of Bldg. Sjlfe, rmiLy' oeit,siD& C4 No. of Units...Bedrooms •--
PLOT PLAN
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.
NORTH ( RESIDENTIAL COMMERCIAL Sta is s o.
Ind. Ins. Acct. No.
REQUIRED
yt'7 c-i) Plumbing Permit
1� in Plumbing
Permit
en a
in N Sewage Permit
-I 1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I herrtify informa 'on sybmit;ed is correct and there are no other stru tures located� on this ro erty except
6 as syr `- 7� ` /
1
Ow 4 or Agent Date
A LAND USE OR ST. CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS?40T A PE MIT.
Al`Alt, fZ DO NOT WRITE BELOW THIS LINE
You sti<eet address will be 1 //41 6. /1 7The zone is /1'�r XII��'�'�
Sewage Permit Number Issued Building Permit Receipt /),-07 2. -Issued
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Remarks
Form 523 Bldg. Code
48
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