1976, 04-26 Permit App: L3538 Residence0
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Clinty of Spokane, Waslkfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
PPLICATION FOR LAND USE OR STRUCTURE PERMIT � d
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.
NATER. 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 ine, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are require
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
NTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
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performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MO;WING 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
Name of Owner "� Address �� �.Z Phone-, /
Address Phone
Architect Phone
Engineer Address
Phone
Contractor Address S - G
Legal Description of Property (Give complete description, fro d/eeed, tax receipt e c.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bid Z Fire Zone
ze of Lot y Sewage System Cs�i lyG3 Frn�Corix_ Br., etc.)
cJ`. s Total Sq. Ft/- Valuation z/JCJ
tomes mension�
Rooms AL—Baths Baseme Fo ion Const.. Chimney (,v FireplaceNumber
Full, part, n e 9 %/i /L ` /
" /' Int. Wall Finish'
Hi- item Type of Roofin ---Ext. Finish
Use of Bldg. -n No. of Units —Bedrooms
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.
State License No.
L) NORTH �` RESIDENTIAL - COMMERCIAL
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-30
1 %.-0� SOUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit`'
N
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her y certify informs, 'on submitted is co rect and there are no other structures located on this property
as shown.
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
5Z
Your street address will be ' G ` -- / The zone is
Sewage Permit Number Issued Building Permit Rg3t Receipt Issued
Remarks
Sketch showing survey of Lot 13 and the West 37.50 feet of Lot 149 Block 50,
Kokomo Townsite in the County of Spokane and in the State of Washington,
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