1975, 08-19 Permit App L1209 Demo Residenceount of
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920
APPLICATION FOR LA D USE OR STRUCTURE PER IT
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-I33 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances,. :, 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 Cotwty 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 dedieat Ions 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 Address Phone
Engineer Address Phone
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Contractor r�!* "� � r J' '_��, <. i� Address � � lF I��'- Phone .
Legal Descri}ition of Property (Give complete description from deed, tax receipt etc)
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DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire.Zone JO
Size of Lot / . ` / '< Sewage System ( J t
Y 7-°� oust. �i
$r., Conc., Br., etc.),
Stories ° Dimensions Total S r%
q- Ft '- " Valuation / t-
Rooms Baths Basement Foundation Const. - - I-+-- Chimney Fireplace
(Full, part, none) (Kind) (Number
Heat. System Type of Rooting Ext. Finish Int Wall Finish
Use of Bldg. J 7 il , : . , A l
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or ro
proposed buildings; (4) distance to property lines and streets; (5) dimension
tem and water supply lines.
NORTH
SOUTH
No of Units _Bedrooms
locations;
by/kid ings;
3) location of existing and
(6) location of sewage sys--.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage 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 except
as shown. \- -
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ,
Sewage Permit Number Issued
h:
The zone is/
Building Permit tt/ n ( Receipt , r Issued
Remarks
Form 523 Bldg. Code