1974, 04-23 Permit App K4320 Build Dome StructureQ A ;tom' �`L
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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. 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.
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APPLICANT FILL IN BELOW THIS LINE
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• Address Phone
Engineer
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Contractoru ��' kl 1' �"i 1
Legal Description of Property (Give complete description from deed, tax receipt, etc) q "d / �`� ''/ - ' J i c.1
Address
Address /GO
sZ K a pPoRruiu/TY
Phone 4 ,r
Phone
DESCRIPTION OF WORK: New Addition
Size of Lot id-6' X �; `j
Stories Dimensions
Rooms Baths Fult
l. Bpart none)
Heat. System
Use of Bldg.
Draw sketch with
proposed buildings;
tem and water supply
m
N
Remodel
Type of Roofing
,V-.:12ittPLOT PLAN
Moving Bldg. Zone / Fire Zone -
Sewage System ""- onst. '/%=1' "�aJ
(Fr., Conc., Br.. etc.)
Total Sq. Ft Valuation
Foundation Const Chimney (Kind) Fireplace(Number
Ext. Finish Int. Wall Finish
No. of Units —Bedrooms
dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
(4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
lines.
NORTH
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APPROVED AS NOTED
SPOKANE COUNTY HEALTH DISTRICT
Date(, 4 - 71-
I hereb
as shown.
sire
$POKA
DATE:
State License No.
E Coth .v LANNrS�v{GNCOMMIS
ArrnoVED AS N
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BYts1u�--
OTE
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rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
ION
aA1Liiih7TeVED AS NOTED
lams Maned County Bldg. Code Dept.
Date 4 --74-
on submitted is correct and there are no other struc • -
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
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+' 11 H Nb i"14 A-A..,t< g T 'Ihhe zone is j
Your street address will be 'F./U d � 4 Ue r; � A I N
Sewage Permit Number Issued Building Permit Receipt ' -''s Issued 1--•4X-%/
Remarks
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• ed
Pat ,111
• e11%►dill -
•
Form 523 Bldg. Code