1976, 06-07 Permit App: L4206 Residence• of
Spokane,
•. • R •
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, F '
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.
NATER. 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 _ % �tr1 -'_.- 414'2'Address /r f
Address /,��- Phone
Architect Address Phone
Engineer Address r Phone
Contractor U i rtb' Vii_syt,i Address '�t.'1 a f_5�
�� Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
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DESCRIPTION OF WORK: New --— Addition Remodel Moving Bldg Zone Fire Zone =
Size of Lot t� _
{_ Sewage System � CF nst. (�
r., Cone Br_ etc) `?
Stories
Dimensions - : .- t ' Total Sq. Ft Valuation # 'L 1V
Rooms— Baths Basement'}`E - Foundation Const.. (�+ I1 Chimney p
a
z F,u, 1. part, non® 2(. �."°'� Fireplace
(Kind) (Number ' P
Heat. System Z.� ��3
Type of Roofing til 1 Est mish / `f Int. WaII Finish ZIA
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Use of Bldg. No. of Units, Bedroo s
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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 sew ge ys-
tem and water supply lines. _.- r< ,,a,_.,.. �: a
NORTH ��RESIDENTIAL—'COMMERCIAL state License No.
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Ind. Ins. Acct. No.
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t hereby certify/ nformation submitted
as shown. // / J 1'�' .,�
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Plumbing Permit
Heating Permit _
Sewage Permit _
Pians Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Pians Mailed —
corr4et and there are no other struetVres located on this property except
Owner or Agent Date
A LANDSE OR STRUCTURE PERMIT MUST-° E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS OTA PERMIT.
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&0 DO NOT WRITE BELOW THIS LINE
Your street address will be ' f ' * �)The zone is Y= �1 i" t
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Sewage Permit Number Issued Building Perm Receipt JIssued
Remarks