1977, 10-27 Permit App: M3911 Residencer
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 'O
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GENERAL REQUIREMENTS PERMIT FEE ----
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0........
PERMIT REQUIRED. A land use or structure permit is requ "d by County Resolution to erect a building or structure of any
kind or alter any building or structure already erects- or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Const action is subject to inspection.
WATER. Nater 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 a rceable through civil action. County Officials can not bring action to enforce covenants or dedications.
n APPLICANT FILL IN BELOW THIS LINE " 6
Name of Owner/`-�
Architect
Engineer
Contractor '�%
Legal Description of
ive complete description
Address
Phone
Address
Phone
Address
Phone
±a-:=
Address
Phone
n deed, tax receipt, etc.) Parcel Number
DESCRIPTION OF WORK: New �_ Addition Remodel Moving Bid . Zone _L- Fire Zon
Size of t /Sewage System FFr., Con Br tc.)
(o
Stories Dimensio s l! 3 Total Sq. Ft. - Valuation Q L—
Rooms Bath Basement Foundation Const. ChimneyFireplace
Fu I part, non (Kind) (Number
Heat. System Type of oofin Ext. Finish Int. Wall Finish
Use of Id
g. / '�j/' No. of Units _Bedr ms /
PLOT PLAN
Draw sketch with dimensions showing:1 property lines 2 street or road lZti(4�s; 3 location of existin and
( ) D Pe ( )( ) g
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water suDDly lines.
i✓
as
NORTH
SOUTH
Plumbing Permit
nr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here feriijfy information submitted is correct and there are no other structures located on this property except
/U
Owner or Agent Date / / / i
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
Your street address will be �(V /W Ob n -I Ila—l—, The zone is
Sewage Per Number issued Building Permit Receipt Issued
Form 523 Bldg. Code
State License No.
Old
Ind. Ins. Acct. No.
COMMERCIAL
`,,REST6ENTIA0
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here feriijfy information submitted is correct and there are no other structures located on this property except
/U
Owner or Agent Date / / / i
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
Your street address will be �(V /W Ob n -I Ila—l—, The zone is
Sewage Per Number issued Building Permit Receipt Issued
Form 523 Bldg. Code
A-
Z 3 :57023