1975, 12-10 Permit App: L2294 Residencea •
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 wly
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 -RACK 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.
ACCESSARY 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 c�i/ J?.., r qq y6 7
Name of Owner -
Address 6' , - Phone %?_Q//e.?
Architect Address Phone
Engineer Address Phone
Contractor J Sm P Address Phone
Legal D7aiptianl Py party (Give complete descri tion Need. tax receipt etc
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es )
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DESCRIPTION OF WORK: New
Size of Lot /ea i / Vel
Addition
Remodel Moving Bldg:.Zone
Sewage System / ' Const
Fr., Conn.. Br. etc.)
A Total Sq Ft. Valuation 3 000.00
Foundation Const Con Gre +t. Chimney Fireplace 2
_ VisJh�a,/.ry n I (Kind) I.. (Number
_ -" ' I Ext.-�Finish U A Int Wall Finish _Bedrooms w/.i
'(Mn p� No of Units_Bedrooms v�
{v' f/,ii9 F,-'';s4eI in WdSr•Ie f
Stories g Dimensions 4713 A/ 2
Rooms C Balls m" Basement
/�
(Full, part, none
Heat. System 6-a Type of Roofing
Use of Bldg. nec r.lrr!e
tuuebAciat
Draw sketch with dimensions shoving: (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; (8) location of sewage sys
tem and water supply lines.
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PLOT PLAN
NORTH RESIDENTIAL - COMMERCIAL
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State Licenne No.
223-e I_ /7 -a
Ind. Ins. Acct. No.
cd en
REQUIRED}- /
Plumbing Permit Cr- SG/i
Heating Permit .] M i ><%i
Sewage Permit A.42- JI?e r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify Information submitted is correct and there are no other structures located on this property except
as shown.
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Owner or Agent ( Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
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Your street address will be / /3 76 40 4.zke
Sewage Permit Number Issued Building Permit l%
Remarks
DO NOT WRITE BELOW THIS LINE
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The zone is ,Liffe 1t -SA M .4..gd.,
Receipt /4/9 Issued
Form 52
Bldg. Code