1971, 09-23 Permit App: J0797 Storage BuildingCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
srn..IT ere i 1
GENERAL BFARieneueuve
Legal description of property. Parcel number 1841-0919
The south 12 feet of Lot 1 in Block 1 and. lot 2 in Blockl2, except
the north 155 feet thereof and except the east 25.57 feet lying north
of the South 12 feet thereof in the TCHINSON •S ADDITION, as per
plat thereof recorded in volume "Q" of Plats, page 41 situate in ii4..6
Spokane County, Washington.
ru1ubs ul ingress anu egress must oe 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
Address �� Phone a - ` p
! 7-3
Architect S'/Phone — Engineer
Name of Owner
C, Ptr/e,-;;*1,
P' A o oa.t-e
ContractorJ
/01 Le*fl 4343 cif
blr
Address
on of Property (Give complete descript
tS,S� ' k yr '0r7t /j.�,
P ,2 T- Ar •, R >` 4,1-r �1 e,z, \\ 41
DESCRIPTION OF WO K: New y C' -1 Addition Remodel `"^ Moving --- Bldg. Zone
Size of Lot / 5 co,< / D a
Dimensions /
(Frame, concrete, brick, etc.)
Rooms 1 Baths -Basement Foundation Const uG /"t ✓X 26 Chimney
Phone
Phone """— /
ion from deed, tax receipt, etc.) ti,177-57, o ft J� 7 j e �
, X G' 1" ,�. �� �,4F., .- E r. r / , ;> / a� EXjC
H4. / • eT` //�C, t,t. t�a Ct. J, /,c+ .S
3D . w 'L)? t 4 Coc.. u.;
Const e G c -
Fire Zone
Sewage System IY ' "1 f (' Stori
Total Sq. Ft. ( Valuatio
Heat. System ,c
Use of Bldg.
Garage or Carport Attached
(Full, part, none)
Type of Roofing Co rho 1 ^ ` r' ,ti ( ext Finish
7-0 /s N 1y.
are (7-
TV").
'
1Y" )' " Fireplace 11/41 t'
(Kind) (Number)
Int. Wall Finish %%o v`+ P
No. of Units / Bedrooms 7510
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.
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as shown.
-/R'S`(/' SOUTH
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fy igformat6n' s''upmitted is correct
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
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
and there are no other structures located
on this property except
3 -
Your street address will be
Sewage Permit Number
DO NOT WRITE BELOW THIS LINE
Issued
Remarks � �� 9-/ Q 9 7 CG
Building P: rmit
e zone is
Receipt
Form 523 Bldg. Code
G -rade
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