1975, 02-19 Permit App K6757 Residence, Garage, DecksHeat. System Ea2,,,„&Type of Roofing S/7Q./Ve Ext. Finish/laLd 1- /// I
Use of Bldg. wC-41 'Z�, Q
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APPROVED AS NOTED
Spokane Cou ty Bldg. Code Dept.
County of Spokane. Wash 'Won fL
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKA ,bWASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .....:1/. -
PER REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kin or alter any building or structure already erected, or to change a land use. Construction mast conform with(the
Sppkane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. Water supply must be approved by the County and State Health Departments. Where work on water connections distu bs
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 are enf, ceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BE OW THIS LINE
Name of Owner�'r"�
� � Address
Architect Address
Engineer Off V_7 Address
Contractor -oar Address
Phone
Phone
Phone
Phone
16--9/.yid
Legal Descjiption of Property (Give complete description from deed, tax receipt, etc,) 2 c��
�.��h'3-05z3- `/3a ' go, � _i,y s'! � ����.� ea:s /��Cyc�d��-
9
DE�iCRIPTION OF WORK: New i/ Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot ib"4' ,X /8 3 r /5—'7 - a 6 9' Sewage System ' ' w �. onst. / u -r fl -
/'/3 a X 4/0 7/ 1 (Fr., Conc., r., etc.) �
Stories _Dimensi on %7� 26 I '( I 2 7 X Z 3 Q¢�Total S Ft -14'r% kT
q• Valuation
Rooms `3 Baths ,3 -t Basement Foundation Const.. �� tip Chimney (A"K /t Fireplace Q
(Full, part, none)
(IUum.;. -�-_-
Draw sketch with dimensions showing: (1) property lines; (2) street or road locati.
proposed buildings; (4) diet---- to property line- atid - ons-.. S "-lgostion
tem and water supply lines.
pm
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property excep
as shown. �C C
n/ 3
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
61i t_., -74�-4 r) DO NOT WRITE BELOW THIS LINE
Your street address will be /5',j 7( ,.j C�{,.• The zone is a F.a ._,,..z,-( �.Ab
Sewage Permit Number Issued Building Permit Receipt !Issued
Remarks / ,Q4- --,.. .T'' -_ G
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Form 523 Bldg. Code
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