1978, 01-31 Permit App: M4750 Residence o
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT q
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GENERAL REQUIREMENTS PERMIT FEE G?
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of atl.y
i kind or alter any building or structure already erected, or to change a land use. Construction mast 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOWGTHIS LINE•
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Name of Owner ►U i. �! P A! Address /���r/ /' /✓ / 7.4 Phone �ao " ' /7
Architect Address Phone
Engineer Address Phone
Contractor .'i eta%' -' Address %7 - ----- one -------7 --
Legal Description ofProperty (Give complete des ption from d �, tax rec ipt, etc.) lay � I mber -1 2. —
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DESCRIPTION OF WORK:, N w Addition Remodel Moving Bld . Zone ( Fire Zone
Size of Lot /'� /�. 7 r A / T -I ' Sewage System /C-- const. /%'2 "9-t------
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/� ,/ / r r ;>00
(Fr., Conc., Br., e%) 4,4-
-Stories Dimensions 7 7 /-{ 22 `t A2 `X2 (7 /0 h f 7Total Sq. Ft. /l00 Valuation _ � Vtai
Rooms 5 Baths w Basement[ :'I/ Foundation Const. C Ott,-CA•7-7- Chimne ,'fireplace .".
(Full, part, none) (Kind) '1 (Number/,
Heat. System E�Qc- r/9-'T pe of Roofing CE Ext. Finish '7 /—/J Int. Wall Finish �Ry '' .g--
Use
Use of Bldg. _Qc,,� 7F 3.ti.�• c •G q Drat--6y...e q 04<-1/e--No. of Units Bedrooms 3
PLOT PLAN C /7� ---4"`
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 ,r State License No.
L zZ3 - o+ - -,7- 3---17
Ind. Ins. Acct. No.
.4''/e RESIDENT!, -COMMERCIAL
REQUIRED
,---1_,---- Plumbing Permit
m
rn Heating Permit
N N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOOT
I hereby cert `i fo 'nation submitted his correct and there are no other structures locatedon this property except
as shown. /� O(/
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er or Agent Date
A LAND USE Oa%MI M1 tEttliet MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
NIS IS OT A PERT. HIS LANE
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I ur`street address will be • =N..... •
The zone is _A. `
wage Permit NumberIssued.(0.40 f O i9 t4 Building Permit Receipt '5-30 Issued
Remarks nnI �1 I I 0�
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