1978, 06-02 Permit App: M6609 Residence r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
. APPLICATION FOR LAND USE OR STRUCTURE PERMIT o .
GENERAL REQUIREMENTSPERMIT FEE 7
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with th
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.
�a AP?LICANT FILL IN BELOW THIS LINE
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�J Phone �2
Name of Owner ��^�� Address• / Q `i eet- )-E--c -'2/� �/ ,A.----
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Architect Address Phone
Engineer /! r� Address Phone _
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Contractor a Address " -?..--f---2--1-- -�--- c-/Phone
Legal Description of Property (Give com Iete desgription from deed, tax receipt, etc.) Parcel Number ,2 d J V 3 ci'0 2-
/
F '3
DESCRIPTION OF WORK: New/ 1------- dd�on/ Remodel Moving Bldg. Zone / Fire Z e `-.)
Size of Lot 9 •X / f Sewage System 5 c/cT( onst. *-"-L---(-----
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.2 , t (Fr., Co Br., etc.) o�
Stories /Dimensions ;;72,O) X 4/ 0 4x �' a //0 Total Sq. Ft./_Valuation 3 Ci"
Rooms ) Baths Z Basement _lam Foundation Const.. --L -6� Chimneys Fireplace 4
(Full, part, non (Kind) (Number Q
Heat. System j& , /�4 Type of Roofing0_,_ Ext. Finish / .-11 Int. Wall Finish��✓
Use of Bldg. �..0,c 1tc_c�1 ,_aG-C tt CLL $ No. of Units L Bedrooms 3
1 PLOT PLAN 7Z -e'cv 4 9 7 9
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-
tm and water supply lines.
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NORTH State Licenses+ r
Ind. Ins. cct. No.
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RESIDENTIAL- OMMERC AL
REQUIRED
Plumbing Permit
in Heating Permit
es N N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans M /
SOU TH7.5 ( - X
I hereby c infor do bmitted is c27ect and there are no oyor structures locatethis property except
as shown.
'7
Owner o Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
.. ' � DO NOT WRITE
SBELOW ii �THIS LINE j'��1
Your street address will be 4- 5 p�// / 7 L 2 ) The zone is 5z ' ,
Sewage Permit Number Issued Building Permit 1 () Receipt, / / Issued
Remarks
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Form 523 Bldg. Code
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