1971, 04-19 Permit App: I4053 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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APPLICATION
lAPPLICATION FOR LAND USE OR STRUCTURE PERMIT cJ
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.
LIC!A T FILL IN BELOW�LOQTHIS LINE
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rrU/'/ rL� Address .e,...f" 7 Ate` 7 Phone /74-,2:-/- 2
Name of Owner
Architect
�_ Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (�`}ve complete descr} t" frgm deed, tax rete t, etc.)
.�! /� ' /� ..1 .&r--7-t-r ,47f0/..j.,.•''/C'r/
/� G',..77C 6-....5"--/2 - //'' ,J —
DESCRIPTION OF ORK: ewe Addition Remodel Moving Blde4':),
,Zone Fire Zone
Size of Lot
..4.:74.Z; X / wage System -Sr, , Stories
Const.'"1'-� Dimensions CIA T 4 1-."" tal SN.Ft. ./%0 .-5,e) Valuation
(Frame,co ete,brit etc.) �
Rooms Baths T Basement , `i//Foundation Const `�. - Chimney 'y`Fireplace /
;7 ,Full, part, none) (Kind) (Number)`;
Heat. System �'' ee-- ' Type of Roofing Ext. Finish �> Int. Wall Finish ✓fir 1i"'°
U ldg. � `� No. of Units / Bedrooms
Garage Carport Attached .r` ) 2I Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
•posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
e and water supply lines.
NORTH State icense No.
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V
j4 ✓_ ��`9 � C C
REQU •ED
L/a Plumbing Permit _/A• I/ A.-.Q in Heating Permit
en \ -
vs N Sewage Permit
Plans Received
74/11 Plans Checked .41111.11
Plans Returned MI
Plans Picked Up/ii
Plans Mailed
SOUTH
I hereby cert' nformatio bmitted "s torr- and A.-re are no other structures located on this property except
as shown. i / / /
A 4^ i / ✓ .
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
Your street address will be ,' le: F / The zone is
Sewage Permit Number Issued Building Permit �/ Ript .issued
Remarks �`[ U s3eceS
• c.
Form 523 Bldg. Code