1977, 04-11 Permit App: M0538 ResidenceWm Q�
D%e Sewage Permit We/
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County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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3
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of say
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. Rater 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 Noe. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under mast 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 witb stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OP 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 4902 I6
Name of Owner c '4e s-' %J7 Address
Architect 1( Address t Phone
Engineer Address Phone
Contractor t w+Address .a......._, ---,Phone
Le el Description of Propert Give complete description from deed, tax receipt etc.) ! -Z" 3 /
7
w . ° 7 Partes 270.0'/tNi • go 47
Phone 9'if 22.
DESCRIPTION OF WORK: New L Addition Remodel
Size of Lot y0 .k /30'
24
Stories Dimensions y'
Roans 142 Baths Fu I, Pert, noit4)
( ,1
Heat. SystemType of Roofing �dX
Use of Bldg. W Qi • Y
Moving Bl�dB. Zone —/ Fire Zone?
Sewage System %aw 4 ConsttprO -
w'ZEN'r/0"Ap Fr., onc., Br., etc.)
AW.♦" Daws e1C Total Sq Eta ,P oto Valuation So Pzb
Basemen[ &I L Foundation Const �/ Gam' Chimney / Fireplace �—
r�� n _ (Kind) (Number
Finish Int Wall Finish p�W/.$j_ Iota
V No of Units _ Bedboms f
Ent
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
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NORTH
RESIDENTIAL - COMMERCIAL
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Bt4t4 L£%=fr<No.
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Ind. Ins. Acct. No.
} REQUIRED,
Plumbing Permit ri' A
Heating Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 9O
I hereby certify information submitted is corSect and there are no other structures located on this property except
as shown. ..�
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Owner or/Agenntt / Date
A LAND USE OR STRUC
THIS IS NOT A PERMIT.
gkt
URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be ) e y7 //ny�� `/� - r l$e zone is
Sewage Permit Number Issued Building Permit)11 I W 3%Receipt Issued
Remarks l
Form 523 Bldg. Cods