1972, 04-11 Permit App: J2539 Residence . County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT P
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GENERAL REQUIREMENTS PERMIT FEE
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 Has. 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 m❑ 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 UNE j� li
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Name of Owne SIIIMIlii .. • Address I 110rA., Phone r 6 -0 /7
Architect__ Phone Engineer +/ Phone
Contractorp1.--7&-&-,1. Address Phone
Leg Description of• op ty (Give complete description from deed, tsx receipt, etc.) 1.7C 3 _ I 2 o Z
' - - �!./ 64-4--_,4_ GL
SCRIPTION OF WORK:New __Addition Remodel Moving Bldg.Zone / Fire Zone
e of Lot '- 0 ' / 3 Sewage System Stories
1� � / 5a
Z-------Const. Z------- �7
Dimensions r6 x 3 Total Sq. Ft. Valuation ,�� � -
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(Frame,concrete,brick,etc.) /�
Rooms Baths/ Basement -- Foundation Const. l _ ,O p Chimney Fireplace
(Full, part, none) (Kind) (I tuber)
Heat. ystem D T a of Roofing 'C Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms 5
Garage or Ca ort Attached ' � . — Private Detatched
14,
PLOT PLAN /9 /r • . ./��
Draw sketch with dimensions showing: (1) property lines; (2) street or road loc tions; (3) 1 cation o existing an. 7
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) ocation of sewage sys- )7,
tem,and water supply lines.
./e) \ NORTH a - License No.
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REQUI•E'
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Plumbing Permit ; 40-9_,-/
on Heating Permit `S
Sewage Permit
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Plans Received
Plans Checked C
Plans Returned
Of
Plans Picked Up
Plans Mailed
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L SOUTH
I h by certify information submitted is correct and there are no other structures lik located on t is property except
Ishow
-------- _ , . i ,....a. k x . ‘ ... I (/Owner or Agent Date 7
I A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
I THIS IS NOT A PERMIT.
eid 2z4, ) DO NOT WRITE BELOW THIS LINE
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Your street address will ,r::7;47.: ,-.-;4F i -- / w/� .e zone is ��=/
Sewage Permit Number Issued Bullring Permit Receipt Issued
Remarks ''2
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Form 523 Bldg. Code
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