1978, 04-17 Permit App: M6175 Poolafs+v*y:gST
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Count of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 2a'
FONT 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 =water connections disturbs
the surface, shoulders or ditches of County Reeds, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTE21. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
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.
ROVING 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 le,' ,Vo.cTON AddressE. /0 2 / 1l Y (f' phone fl Y--/7 S _O
Architect Address Phone
Engineer
Contractor ..----7�/x'c'e------ Address I-7e--f".."--g----- phone y��
Legal Description of Prop rty (Give complete description from d, m receipt, etc.) Parcel Number4''"w'-�t"a '2 J,/ U
-Cor / /.�/ocK 3 . !aVr,sfit..�e' Cfe4.e-eJ /�' udL!
0. K¢ -2346
Phone
ROADWAY R/W WIDTH ,/
p Remodel Moving Bldg. Zone Fir Zone Zona 3
Size of Lot /6 ^�' / x rf Sewage System — t 3 far FonstY^"^"�
Fr one Sr e c 1 0 °'
e Sq
Roans04 Baths
s/ Fu LB seine ansN/i ,Foundation Const.
)
Heat. System N��'LC Type of Roofing ,'"// / Ext Finish
Use of Bldg. �iV--t—srv/-yu.- f ".r)L4_ e_.
DESCRIPTION OF WORK: New Addition
//� nn � o
Steri eggibimenslons `yJ k Y Total Ft 0P0 Fr.,
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�Ast�-C d 0 Chimney (&eL Fireplec
)
3 Int Wall Finish
No of Units—Bedrooms N/,4 -
PLOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations; (3) location of existing and
prop=-.' buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem water supply lines.
Otiose
1'
62
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plana Picked Up
� J,q. Plans Mailed/p /[
s5Ctl7AlYY'ftr ,r_gee24
I hereby rt y inforsubmitte is correct and there are no other structures located o this property except
as shorn. m y_ , 7 - 2/
Goner or Agentg Date
A LAND USE OR STRUCTURE PERMIT MUST BEON THE PREMISES BEFORE CONSTRUCTION COMMENCES. -
71113 1S NOT A PERMIT.
DO NOT WRITE BEL N THIS LINE
Your street address will be Cr 1/10 a / S .( /� 16/7c.
Sewage Permit Number Issued Building Permit
Remarks
li` e- / • , Aral
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sone is ✓
Receipt?' .Z 9 2 Issued
Form 523 Bldg. Cada