1971, 03-02 Permit App: I3571 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 9940 - C�
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6,-)c.,
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
Nan of Owner 1:2 •1-- E-.12.--c- 0 Tic t' 4-4-- Address 5,-f . 2c"'21 tilz_i4a X) v. t_-,• Phone AA i\-41'j y7`l
Architect C`U t.“C Z- Phone Engineer Phone
Contractor C^w tsmaz_ Address Phone --
Legal Description of Property (Give complete description from deed, tax receipt, etc.) U1.9 r s — 7_2-4 (^P t-CrT '1
qr�L OF ILz,V f' , # i,L1� CJi�s- 1'1 ' c't u->j i 1K, (31...e.-_,ct< L. I)r•-:. icc'',Krut(a
70 �Sk.S r Ncntz PIES, 1 ts.\ VOL(.1„w, r est= ptm-vs p --- i pr4_4„5 -5(--) i 5 Vc>14,posoit. (c>t.k.►.A,1 1 U r.4 s t.1 ,
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone I Fire Zone I 3
Size of Lot ri ° )t 13c) ' /
Sewage System 5 , -rw N l<. Stories
Const. F120.111¢. Dimensions (c2-V yf, 31c,'/Z-' - n-41/24"z'4.2S Total Sq. Ft. 31`I'] Valuation 3-5 I� )
(Frame,concrete,brick,etc.) '
Rooms Baths Basement 1\11,11<-Foundation Const. 6-e'''tC Chimney ,tztck., Fireplace 1
to...,-, (Full, part, none) (Kind) (Number)
oef,Heat. System ,y3 Type of Roofing "50r4°V(' Ext. Finish Ti'A.j — 1 k 1 Int. Wall Finish t7a.ttu;ttt! 4 t.tx r o lois.
Use of Bldg. VaS11` vi.- -lam No. of Units 1 Bedrooms 'A-
Garage or Carport Attached ._'...).642 kAC..ti— Uk-r c 14 ti:::) Prrivate,Deetatched
cs
PLOT PLAN S `t Z, - 2 "2--/"IS
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 State License No.
Ind. Ins. Acct. No.
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ZS — 7 it__ 24. , pra
1,
.,.- il REQUIRED
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Plumbing Permit ),//7-`-'e(-- '
°� m Heating Permit �
m
to l ' H Sewage Permit
Plans Received
12a � / _ °
_ z C`f+ i- Plans Checked
Plans Returned
Plans Picked Upoyi 0,�. .9 . %c:( \
Plans Mailed
/' SOUTH
/I hereby certify '+fo r ion su itted is correct and there are no other structures located on this property except
as shown.
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Own- Qr Ag@nt Date -
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITTEN BELOW THIS LINE
Your street address will be //./a :. / ic , (2-C1`- ';
e zone is 34A--e/
/Sewage Permit Number Issued Building Permit 12 Receipt -3t3. ssued
)temarks
Form 523 Bldg. Code -
WEST VALLEY EXCAVATING
S. 812_ DISHMAN ROAD
WA.4. 5130
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