1975, 06-20 Permit App: L0610 Residence i .
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County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201 5p��
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APPLICATION FOR LAND USE OR STRUCTURE PERM ________(
GENERAL REQUIREMENTS
PERMIT FE �
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of my
) kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
j Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
JWATER. 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
!!!!!Ileast 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.
C4VNTY u4A➢S, work en Btrt4t Might-of-way may not be performed until staked by county Rosa Department and Work mgst no
dei-formed in accordance with stakes_ Points of ingress and egress must be approved by the c*unty naingar.
NOTING of RHILDINGE_ A permit is MatIrtd tc MOYe an iititihF building: When a building Is moved on a county or state
ilinkwag, cioaraficg moat be Obtained from the County Engineer and/or state Highway Department_
ACCEoBoicY afithiNDs_ Accessory ouiiaings (garages, meas, ate,) reggire a SeDaratq pgrmit.
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
Name of Owner Li-' • 4. c £.'e' c Address /•a-;j} a{
� 77;'---e,,J�c-' Phone (7,-.2 �'���
Architect Phone Engineer / Phone
Contractor a/ . /2., s s.1'or,. Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 4t''t"'.sl- /,,2-1--,-''T- o, z j-
/il L- 0r cc'r l� NA.i9 4C 7' 7 k.=)ccc"DT 7hd �j' '1" ,-3r /`1_ rt/['rrc ., - i
Ate<
3s" ' /�OACAI8 _4ci d%s'rr-c /^:� n ,71.-c1-3 - ,3..ro s
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 7• J I - t) Sewage Systemo4V T7(- /
Stories / /
Const. Pk mar Dimensions yFX 2 6 i- I IEA;P1tc.[._.Z�,r,26 Total Sq. Ft. 7 Valuation 'VC',�'f l°
(Frame,concrete,�c� brick,etc.) �'- ��; / ".,/..:2_,
Rooms J( Baths �� Basements Foundation Coast. <.-DA%(dig fir Chimne . ireplace "
(Full, part, none) (Kin ) (Number)
Heat. System 61 fI(4 t C. Type of Roofing e'V!Q`P Ext. Finish NN 64 M(t (Int. Wall Finish ,may/1 fn a
Use of Bldg. /Q I'.5'f 0 d A/Cls
No. of Units Bedrooms
Garage or Carport Attached 1gAlf l9 6C- Private Detatehed
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.
i 1 NORTH State Lice se No.
Ind. Ins. Acct. No.
)„..:_,4,_,
r_ / REQUIRED
/Plumbing Permit
in Heating Permit
//.
m a
ut H Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
1C(b
Plans Mailed ,
SOUTH -s
I hereby certify information s .i'it =d is correct and there are no other structures located on this property except
as shown. _ /
," / • -!s- 2 /iii. ' 6- .2-L' • •.---
Owner or Agent tate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(1-7 1 .7' DO NOT WRITE BELOW THIS LINE
/
Your street address will be___4'"_42 � \"" a zone is i
Sewage Permit Number Issued Buildin Permit Receipt 7, 7. Issued
Remarks
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Form 523 Bldg. Code '! fu { ()
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