1978, 06-06 Permit App: M6707 ResidenceA4
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201#
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT /vo
GENERAL REQUIREMENTS PERMIT FEE
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.
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 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. Paints 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
Architect
AS�to -i4M-i1U.,. Address P AP •Panne .5 3.5t0 �i S
Address Phone
Engineer r
Address
Contractor
Legal qescr
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eoL b E A44. 4p c. Address �' 1
of� NY Iwge
o Clete dpripti/n from dead, tax roc,• 7JP
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U
Phone
I Phone
I Num er S
DESCRIPTION OF WORK: New Addition Remodel Moving BId Zone / Fire z�,, '
o Lot /00 X 1 cid q -OH- 1-1 Sewage System .� e Const
r-J� �1 t y c Oral
ar Stimensiane J O r- to' 0,4 i i-30 t/a-w'7� SO( I Total Sq Ft A� a p
Valuation
��p .7•
Rooms •y Batheart Basement Foundation ConsLl.Adp Chinney / Fireplace
T -I, part, nnn� 1(indl ( Fireplace(
or
Heat. System _ . SType of Roofing y .� Ext. Finish ±-- 11 ( Int. Wall Finish • _
Use of Bld I
• iii o1L
PLOT PLAN
No of Uitts_-Bedrooms
/ _.
s; (3) location of existing an
gs; (B) location of sewage sys
Draw sketch with erasions showing: (1) property lines; (2) street or road location
posed buildings; ( distance to property lines and streets; (5) dimensions of buildin
and water supply lines.
NORTH
SOUTH
State License No.
V* -4 2a.`+Do
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c tify informed t m correct and there are no other structures located on this property except
r ^
Date /6 (((/ye
mer or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S HOT A PERMIT.
t'}'M 13y%
Tour street address will be
Sewage Permit Number Issued Building Permlt�l ReceippgdfS7
Remarks
DO NOT WRITE BELOW THIS LINE
lot/ _/7t# loci..
Thezone ie
sewed
Form 523 Bldg. Code