1975, 07-02 Permit App: L0725 Residence -__
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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
1 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
eleast 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 j ,, e9ro
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Name of Ownerici , i� �- Q*'L1 Address 4 e /.9 701 s�;� /f f1.�dC Phone Z�y �—`1'91, "/
Architect _ . / Address Phone
Engineer ) Jfi Address / y4�D b Phone
Contractor _ . ./!-4..i.-L( 4..--/-Z Address /c-,-./...- . /(/J Phone q=44- 71's
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Legal Description of Property (Give complete description from deed, tax receipt. etc.) A,C .;'-' -I .V g5`�4,5—s//e) (Peter)
li A( , L6T9 X (Al 37 ' A %-7 . _iikks.6/ — ifoI aMo TOwN3/T4
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DESCRIPTION OF WORK: New <' Addition Remodel Moving Bld . Zone / Fire one
Size of Lot i 7 k /:3C1 Sewage System ..e(L- (Fr., Conc., Br., etc.)Q q
Storie Dim*halo A 4 X 7"'t Total Sq. Ft ,/aluation. ,'��
Room /. Baths / Basemen Foundation Const. �./1yu° � ( 4
dd 1 Chimne Fireplace
Full, part, none I (Kind) (Nupper
Heat. System r Tye of Roo ing ./..' .' Ext. Finish Int. Wall Finish Pi--4-1-
"If -
Use of Bldg. , .rCA!L - E ,-e C(..0 iey.. ' No. of U "ts_Bedrooms
PLOT PLAN
-
Draw sketch with dimensions showing! (1) property lines; (2) street or road locations; (/) ovation 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 .-/-
RESIDE TIAL- COMMERCIAL State License No.
. Ok oAlf , L
Ina. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
in
VI to Sewage Permit
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
+I SOUTH
6I hereb. l •r rop
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as showntted is correct and there are no other structures located on this property except
1
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\ `,`aZ-7,� 0
r! Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
O 7/4.6 1.41.0 DO NOT WRITE BELOW THIS LINE /��
Your street address will be /j ?JS' (`ter .30-2-1(..., 610-1_ The zone is itt- -�Lcl�i!
I Sewage Permit Number Issued Building Perm�72SJ Receipt q,c,047 Issued 7_3 2S----
Remarks SRemarks
Form 523 Bldg. Code
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