1972, 08-03 Permit App: J3982 Residence T
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County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 d !/
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
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 47235.
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.
1 MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or Ste
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.
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RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the lid
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 4.
Name of Owner 44 _AC �--�=- __ _,- 'dress Phone / . -f -5-6
•Architect / 4..,--- Phone EngineerS', l� Phone
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Contractor Address / Phone ;j /
Legal Descr o Property/Give complete description from deed, tax receipt, etc.) __1 ,% I� � - _ v . _
DESCRIPTION OF WORK:Newt Addition Remodel _ Moving Bldg. one / Fire Zone 3
Size of Lot 0 s4 I Sewage System Stories.,�Z o
Const. ` Dimensions 60 Aa 0 ' s' Total Sq.Ft. / 3 6- Valuation JA3OJ, 0 U,-.
(Frame,concrete,brick,etc.) ()Ai /�-
Rooms Baths Basement Foundation Const. �4�{j Chimney Fireplace 2
Heat. System •
Full, part, one) (Kind) (Number)
Type of Roofing Ext. Finish / Int.Wall Finish AC,._,,-
Use of Bl.• i� No. of Units Bedrooms
IrLi____,„ , r.,4_,,-,d31—
(-71-1""A-7 /t-1---""--4-751—.
-j PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of -xisting and
proposed buildings; (4) distance to property line and streets; (5) dimensions of buildings; (6) locatio' of sewage sys-
tem and water supply lines.
NORTH 4.1.00""
/ /11/..-- //-5State L cense No.
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1 � .3 Ino. ns
?) REQUIRED
Plumbing Permit , ,_ _
• Or m Heating Per , tWil '/
N ut Sewage Permit -I _
..I -4 �•��
Plans Received �`
Plans Checked
Plans Returnee
Plans Picked p
Plans Mailed
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SOUTH u.
I her ct fy information submitted i co , tai ~t re are no other structures located on this y�property except
as shown. , LlV('r 6. f' i sr `~ (
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{ Owner or Agent i Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
\ 61:44., . DO NOT WRITE BELOWELTHIS LINE
Tou:I street address will be /4.) i / v 0,2-I3 J The zone is '
&wage Permit Number Issued Building Permit Receipt s. _// Issued
Remarks SVA/ �fj
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Form 523 Bldg. Code
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