1971, 08-16 Permit App: J0383 Stable• 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. 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
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. 95-133 and 47.235.
SETBACK 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 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.
REZTRICrIVE 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 toeforce covenants or dedications.
structure of any
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APPLICANT FILL IN BELOW THIS LINE : AA,V(,
Name of Owner NP.vt4 sf 4 l • . (iil_A.4 Address 1 - Li Phone
Architect Ph Engineer Phone
Contractor • AdtlreasPD %3.rrfv/C//) /jl� ja'�P.�'IQ.�M.I ('P1hone Te -2-3- 7.J,"
Legal Description of Property (Give complete description from deed,/, tax re c, etc.) -3 - —ry
01.072 1&L/( / PoHD.EROSA htzk. ACbi?ieN
DESCRIPTION OF WORK: New. t Addition Remodel
Size of /SP XJO [Y
Const. I 2.-n4J Dimensions
(Frame, concrete, brick, etc.) en -C -1-e-1.1
Rooms Baths — Basement — Fou da on Const t Chimney Fireplace--
(Full, part, none) (Kind) (Number)
Heat. System svijiTy e of Roofing �-f Ext. Finish 77/7 Int. Wall Finish
Use of Bldg. i'f- No. of Unite -- Bedrooms
Garage or Carport Attached Pri ate Detatched
PLOT fr. PLAN
Draw sketch with dimensions showing:, (I) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (9) distance to property lines and streets; (5) dimensions of buildings; (6) lacat ion of sewage sys-
tem and water supply lines.
Moving Bldg. Zone / Fire Zone-al—
Sewage System ,L Stories /
Total Sq. Ft. g 67 Valuation ifrg OD
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Pic Aasbn...^
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as sh
bfd,,Y certify information sted
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Owner or Agent
ec
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Returned
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no of er structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
'THIS IS NOT A PERMIT.
-7/
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permi
Remarks
e• id &A 1P#xL Ck,/2
e zone isKe9'/-`i-^'n/ e46.-ZEit-
�n 2 fey Receipt 71{10 9 Issued 8
Form 523 Bldg. Code