1975, 09-02 Permit App: L1369 Residence I`
County of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 (.°
APPLICATION FOR LAND USE OR STRUCTURE PERMITS -
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.
PPLICANT FILL IN BELOW THIS LIN�,E�� j Ce, --31----
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Name of Owner �. I =a__ - • . ddress `t) 7 1 ' r`-f Phone 7 - ?� S--s
Architect I Address /� Phone
Engineer IIII Address S-- `>-.( l 9L I,� Phone
Contractor Address Phone
Legal Description_9f Property (Give complete description from deed, tax receipt, etc.) .d; G'f."iofi ,....,7._ -`S y3 ....3s..2- Z
(:u // s 2___ _4J' 3 - �3e' 3j— 4--a2,7„,)
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DESCRIPTION OF WORK: New Addition Remodel Moving Bids.. Zone / Fire Zoe 3
Size of Lot 7' V I ,i " Sewage System -<1 . onst.
(Fr., Co , r. etc.)
1/4....Dimensions X 'S y x 2 Total Sq. Ft, S Valuation J�
Stories /yDimensions
Rooms Baths — Basement Foundation Const. cd—�t-A Chimney Fireplace I
(Full, part, non �� (Kind) (Number
Heat. System— o k . Type of Roofing Ext. Finish/ ///—�_ Int. Wall Finish ' —' -
Use of Bldg. ��6Q l'i2 ,i IC Xp..o--e-X' No. of Units_Bedr.ms
te
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 se: _e sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL -7 State L'4 ••.
I 'C ^ In:. Acc 'No.
3 S-
11.
1 k 4 1
G i REQUIRED
---4 Plumbing Permit
Heating Permit
/77 Sewage Permit
Plans Received
Plans Checked Nib
Plans Retur ed
0 ' Plans Picked p
v Plans Mailed
SOUTH
I he ••, certify informatio �' ted is correct and there are no other structures located on this property except
. sh.•
: i
I ' , .4, 41e //r CF7:° j
Owner or/gent Date
A LAND USE OR STRU URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
UPJDO NOT WRITE BELOW THIS LINE
Your street address will be 0 l (lJThe zone is e_._e) ..
Sewage Penn Number Issued Building Permit 3 by Receipt "._ 1 Cued
Remarks 444s.�. .� - = �—_
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