1971, 01-27 Permit App: I3349 Remodel, Addition County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 enforcea,le through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS
THIS LINE d� ' - 991-L C
Name of Owne '�- '/' .1 •ddress -=' /U S—cRU — /(ir: Phone 7-1tA 6 -6's-37
Architect Phone Engineer Phone
Contractors�y 4, Address o 3 u 2 Z- ,,, 6 Phone 7_ 3 2—
Legal Description of Propert (Give complete •escription from deed, tax •ceipt, etc.)
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DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot /61) X I Y-1") Sewage System Storie �} (�
Const../.---------- Dimensions . . ‹. Total Sq.Ft. Valuation 0
(Frame,concrete,brick,etc.) 2
Rooms Baths Basement Foundation Const. '"'-, j Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System i Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. i - • __ Z-411-L-2,19-L-0—,,, 1 ---i ir f No. of Units Bedro. s
Garage or Carpor Attac --d /OW
'rivate Detatched
—71_,& %iv --/C-`�f-r-oL PLOT PLAN
Draw sketch with dimens . s showing: (1) property lines; (2) street or r.:• scat'os • (3) 1cation of existing and
proposed buildings; (4) di. :nee to property lines and streets; (5) dimens'. s„ ~ i dings, • ocation of sewage sys-
•m :-.<• water supply line-
' NORTH •te License No.
i Itn. . Ins. Acct. No.
9401
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Al _ �� REQUIRED
ior `0
II 3
Plumbing Fermi �-A
veiW
in Heating Per• it
in
to H Sewage P•rmit
iki
l ,l1 p Plans Received
fin, (GGX��--- "`" Plans Checked
�� 1Y1Plans Returned
Mill
Plans Picked Up
(.... /P -19 Plans Mailed
SOUTH A
I hereby certify information submitted is correct and there are no other structures located on this pro erty except
s shown. / / / 7 7/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE /�i
Your street address will be gr; 'e zone is 1 -/ --�./
Sewage Permit Number Issued Building Permit Receipt 3 3 7
"ssued
Remarks L�
Form 523 Bldg. Code