1978, 07-26 Permit App: M7330 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 t
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT / /
GENERAL REQUIREMENTS PERMIT FEE.--. ....................
PERMIT REQUIRED. A lead 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. Conntruetim matt cmfon with the
Soutane County Building Cade Bad Zoning Ordinance. Construction is subject to Inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on eater cameo laps disturbs
the surface, shoulders or ditches 0Y Comfy Roads, Dermlasfon most be obtained Yrom the County Engineer's Office.
snAGE sY6ilm. Permits are required in all cases by County Resolutions Nos. 45-733 end 4TM5.
SET -BACK FROM PROPERTY LINES. In most zones and order most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' aide yard from a flanking street, sad a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and I.gress
and egress.
COUNTY ROADS. Work on street right -of -.w may at be performed until staked by County Road Department and work most be
performed in accordance with stakes. Points of ingress and egress most he approved by the County Engineer. A
MOVING OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a Couaty •or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, abeds, etc.) require . separate permit.
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RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil Bottom. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
R9 A
Nems ofAddress flPhone
Architect Address -e%<R--y_ 4'7 u T Phone
Engineer Address Phone
Cono-actor .Addresse
�y P,h/one.
Lpysl Description oj,P� pe Dive complete deaction } m tleed, Raz receipt. ete.l Parcel, Number 0 7 - d 5
DESCRIPTION OFWCRUI Neal
Size of Lot /n.' �- t l
Storias,&,�Diueeneions 4
Soave Bath Be
1 pop ��_ w . I
Heat. system
Uae of Bitlg.
-Draw Sketch with dime..
aDosed buildings;(4) .
I em supply
stl water suppp ly lineses,
Addition Remodel
e-0 ,a o2(
nt Foundation Conal
tate 1/ /�//� / �
of Roofing A, °' +ra+•t.
to
NORTH
Moving
° - PLOT PLAN
property lines; (2) atrueor
lines and streets; (5) dlmens
Sq.
,2 114r
47
3 6a1
Fire e S
sC
Valuatio
r 1
mdl Ru Fireplace N.. bC
Well Finish
of Units _.Bedroo s
ns; (3) location of existing and
age; (6) location of sewage By. -
"
Ina. A t. Nv.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit (f
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked 11
Plana Mailed _
SOUTH
I hWWfCcart Ify submitted I. correct and there sre o0 other structures located on this property except
7Agejt
Omer or Agent Date
A LAND USE OR STRUCTURE MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
O DO NOT WRITE BELOW THIS LINE
Tour street address will be ����`C�The zone 1
Sewage Permit Number Issued Building Permit _ as Receipt Issued
Mmarks
Form S23 Bldg. Code
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