1972, 11-15 Permit Application: K105 Residential Mobile HomeCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT to
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.
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
Architect
Contractor
of Owner /la/ /e 7l PD 7e. 1•
//��
Phone
DQd7w- 0
Address
Engineer
Address R i
9c O9' T«t
Legal escription o Property Give complete description from deed tax receipt, tc.)
Phonee% g —C6c (,
Phone
Phone
DESCRIPTION OF WORK: New x Addition Remodel
Size of Lot
Const.
(Frame, cone
1/.00ms
961 X/i_
Moving
Sewage System
Total Sq. Ft
Dimensions /a X
ete, brick etc.)
Baths
:feat. System e'�,�
Use of Bldg. /` /C//J /7'6, 1fl
Garage or Carport Attached
Bldg. Zone Fire Zone 3
.S �'� fi Stories /
460' 0 Valuation 7 ®CP a
Basement //°�^ Foundation Const /glo c
(Full, part none)
Type of Roofing ,4G° 7 / xt Finish /17
/Chimney
Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
PLOT PLAN
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.
SOUTH
I hereby ce .,. "nformation submitted
as shown.
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
is correct and there are no other structures located on this property except
5-- 7 z-
Owner or Agent
A LAND USE OR STR
THIS IS NOT A PERMI
Date
PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address wi11 be �a
Sewage Permit Number Issued
Remarks
ei
/ e The zone is •
Building Permit
Receipt _f_&3. Issued
Form 523 Bldg. Code