1978, 06-06 Permit App: M6641 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT q7 •--
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 t
1 the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
1 SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
t SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of atEt
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.
L d G(1 • PPLICANT FILL IN BELOW THIS LINE '9 c4
Name of Owner i II' L 4 . Address (f ' r Phone 1 "
Architect 7 Address Phone
Engineer _ Address Phone -
Contractor t A_t..G� Address 1.12'C- - Phone
Legal Description/ / �
, oAPProperty ivecyomppl e d ss/cription from dee�dY tax receipt, etc.) cel Number
Of...t 4ry, (?}I.-24-1" • -*1/4 C-' Krc 4<*i±)4 --c- Lc—r - 1 .) ,
yg
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone I Fire Z e
Size of o / y` r Sewage System *5"!--/C.- Const.
oo�� ( /� e'- <4— (
2 u o Fr., C et )
Stone Dimensions a� OST , Total Sq. Ft. Valuation 7CJ
Rooms Baths Basement Foundation Const.� � �( � Chimney Firepla Number
��• ( u(1, part, no�+el (Kind)
_4
Heat. System ...1-'..i. J.
! ��-�yr�/ti/ I
Type of Roofing q _ _ - Ext. Finish C�' -/� nt. Wall Finish � � �t
e of Bldg. ", _�.��_�� f No. of Units�Bedrod s 'F
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PLOT PLAN
Draw sketch with dimensions s ing: (1) property lines; (2) street or road loca ons; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of bui dings; (6) location of sewage sys-
tem and water supply lines.
&./11NORTH �• •=� .se No.
ns. ccs. No.
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s RESIDENTIAL-COMMERCIAL
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REQUIRED
, ix4/ -1-, Plumbing Permit VZJ
m Heating Permit
a at N Sewage Permit
..I -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/Gf g 044470
SOUTH
I hereby c tify infnmati999nnn submitted is;correct and there are no other structures located on this property except
a shown. C14."1
Ir` , // ��� /
Amer or Agent Date d(/
A LAND USE OR STRUCTURE PER IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS OT A PERMIT.
t(9-44-1/16 . 1 P-'), /__--o Q �DO NOT WRITE BELOW THIS L E
Your street address will be �► i_ -e- �'
� zone is / }
Sewage Permit Number Issued Building Permit i- (.Lli / Receipt - 4 Issued
Remarks
7 41,44/,/, ,461-71,210",iiiehe
Form 523 Bldg. Code
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