1978, 02-09 Permit App M4953 PoolAPPLICATION 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 mast 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.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which arenepfrfethrough civil action. County Officials can not bring action to enforce covenants or dedications.
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Phone c - X 3 9
Phone
( Phone ?L' 3 V�
cie Phone q ev. ` � . ,/
ber G 9(3 4 - o'�/�1
Name of Owner Lam{ (/l�GC *tk n( of r f'l Address
Architect Address
Engineer I' .mot L -r( e2C.A.vz J..t �. Address
Contractor C 0-it. cr: Address
P iA./a-/
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
ROAiV•
F'd R ; A/ A £ 7 3 rt
Parcel Nu
A1O
DESCRIPTION OF WORK: New Addition
Size of Lot I .5( .71AS7
♦
Stories iV4Dimensions 0' L) aC 33 A pR.ECt'-[JLA R Total
Rooms N `i Baths Basement A/A Foundation Const
(Full, part, none)
Heat. System ype of Roofing Ext. Fj{tish A/A
Use of Bldg, ,244
tem
Bldg. Zone / Fir q Zone
>vA
Sq. Ft 7D d
Chimney
Const.,
(Fr., Conc., Br., etc.)
Valuation �!) d4
/1/A Fireplace A/A
(Kind) (Number
Int. Wall Finish 0)J i4
No of Units —Bedrooms
rCcC.Lc u:% PioT PL N�CcQ.��Qr,
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.
NORTH
ccttazAut
SOUTH
i hereby car f informan su witted
as shown. /G
—
Owner or Agent
410
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICANT FILL IN BELOW THIS LINE
Z
Remodel
Moving
Sewage Sys
00
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
• Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Z-- /U— 76'
r3 $/
d there are no other structures located on this property except
2—'%- 7e
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
Your street address will be / :J / j,-3 711,44..,,�1 Q1,�Q_ 1 .u�2.�'he zone is
Sewage Pergjy Number Issu d ��""�_ �'�_ uil ing Permit/'T'f' 53 Receipt � 0
/'
Remarks 1�/�lL eyL. )44
Form 523 Bldg. Code
Issued
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