1977, 02-24 Permit App: L7111 Residence}
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C dnfy of Spokane, Waslbngfon
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .._.%4it
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.
TATER. 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 -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.
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 .‘ n�Ptfir £ Address Phone <? -1
Architect Address Phone
Engineer Address Phone
Contractor F°. ``'' Vnotice Address 75. 4/27A4///Q 11,..r phone 4�.2sJ—
/ 7
Legal Description of Property (Give completeSscriptionfrom deed, tax receipt etc) .
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/4L.oG n / M fetc .F57-,97- S ik7
(tin 09V</i - 90 Y7
DESCRIPTION OF WORK: NNjw `!X Addition Remodel Moving .Bldg. Zone / Fire Zone _S... E
Size t "l D A I .O Sewage System
6:31t: Dose FQA.I/E'
I��, t((( �yx ? f� j ./ `�'cr., Concs,n, , etc.( t
$Sries ensiona �� /f Jc+ Q�22 X22fotal S9 Ft. �y. Valuationre 0o j
Roans S.Baths / Basement 7rff F alio Dost- 001-%(i� Chimn
Fireplace
ii
rrn //_in�ull•pert, none/'/ (Kind) (Number
Heat. System, /] CLL</1CrCType of Roofing • Ext ah Int Well Finish WWI <IMP 4
Use of Bldg. int 6 Brace / ry�^,ry 9 q/ � 1n7 No or Units _ Bedrooms -'Z
0 a PLOT PLAN Gs�• �lv�-"��rul,..l�
Draw sketch with dimensions showing: (1) property lines; (2) street or road atlon (3) location of existing and
proposed buildings; (4) distance to property lines and..st 5) dimensions (6) location of sewage sys-
tem and water supply lines.
NORTH COMMERCIAL
SOUTH
State License No.
2-17-11
Ind. Ins. Acct. No.
Plumbing Pe
Heating Permit
in Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1 hereby certify ,1n� tioq sub is correct and there are no other structures located on this property except
(/�il�/j("(y
Owner o Agent atDate — ciK — 7/
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS .Sl PERMIT
as shown.
Tour street address will be
Sewage Permit Number Issued
Remarks
G
DO NOT WRITE BELOW THIS LINE
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The zone Ss
Building PerpSW, 7/// Receipt,
Ieem
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Fenn 523 81d9. Code
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