1974, 03-22 Permit App: K3959 MH• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4
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 workonwater 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 thestructure 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 BE}QW HIS LINE 9c;2/ 5/_
' ddress U� � V• NPhone
Pho, Engineer Phone
Address / Phone
Legal Description of Pro is (Give complete escription rom deed, taw ecei t, etc.) x,f fc e /95-orn,-O92O
Name of Owner
Architect
Contractor
—
DESCRIPTION OF WORK: New
Size o
Const.
(Fra
Roo
t
ddition Remodel Moving Bldg.
//r' X fO e
Dimensions /2 r r
�concrete, brick, etc.)
y
/ Baths / Basement —_— Foundation Const
(Full, part, none)' ''yy,, -.-
Heat. System T f Ro f Ext Finish -292 ` e
Use of Bldg.
Garage or Carport Attached
ne Fire Zone 3
Sewage System �/> _ Stories —
///y
Total Sq Ft /�1- Valuation �.'%Go c)
t-/ZZe.tC./'� .S€)h Chimney Fireplace --
(Kind) (Number)
Int. Wall Finish
Type
o s o/x Ims „ n
//.a-.�,..i �p ✓ TT C .. L._e� � No. of Units Bedrooms o2-1
1' Q_t `1'r_ -t f cc_ 1 — Private Uotatched
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH
11- t
v 7 r
SOUTH
33t
Plumbi
Heating
Sewage Permi
Plans ved
Plans Check
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c ify information submitted is correct and there are no other structures located on this property except
as shownt 3 as ` 2 _ /
Date Y
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Own or Agent
THIS 1S NOT A PERMIT.
7116-42
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permi
Remarks
e zone is .:. L. Jef4` n a_
Receipt,f1477 Issued 3 a --%.3
Form 523 Bldg. Code