1977, 03-30 Permit App: M0252 Residence laPPR GVED Ac :t,,
Spokane � ' ,"-�'
County Bldg, od. ,,
ii C: ,�dnty of Spokane, Was b_ . /' '�`
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`:� BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, ',soy i.'.4
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APPLICATION FOR LAND USE OR STRUCTURE PERM +, 0`,,.
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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 9ruH
Name of Owner-AIX '{ J.A.I'ltLt22 .0 A Address . NO� Phone )7 5 4 N
Architect Address Phone
Engineer Address Phone
Contractor Address Phone`
Legal Description of Property (Give complete description from deed, tax receipt, etc.) .,,9«Q+5".", SI " as 7
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DESCRIPTION OF WORK: New /1 Addition emodel Moving Bldg. Zone / Fire Zone
Size of Lot �f, X /SCJ Sewage System , onst. -4Ytl1. 1 .
'. FFr., Conc., Br., etc.)
Stories / Dimensions Az7 Ygo i ,, 1'�J 'J(Ia. Total Sq. Ft. ill'' Valuation !y ` `'•'
Rooms 5 Baths — Basement r oir
undation Const. [PC'� i Chimney Firepla e
(Full, part, none) end) Qs.j
Heat. System Type of Roofing ` Ex il Finish g/ �/ I Int. Wall Finish 7>
Use of Bld t.A.' i ? . "� l �J
9 t t��-/� Z--Pt6��?5 =� �=C- = No. of Units Bedrooms a j
PLOT PLAN
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. r
ly- NORTH RESIDENTIAj.-- COMMERCIAL State License No.
Ino. Ins. Acct. No.
REQUIRED
C Plumbing Permit
P--6-,/ m Heating Permit
en a
ut in Sewage Permit
-I ti
41-1---k „t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
•
SOUTH
I hereby cer ify information submitted is correct and there are no other structures located on this property except
as shown.i r/ , t .l'r �� }_r-
Ji" 3/341b2
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9- eLIZ DO NOT WRIEBELOW THIS LINE
Your street address will be 1 3 1The zone is ` •
Sewage Permit Number Issued Building Permit - Z' Receipt. 7/3 7..Issued
Remarks
4114., •±1\
Iiiri
Form 523 Blda. Code
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PAUL C. BILDE'RBACK
IZo7 PLAN