1978, 12-29 Permit App: N1793 Pre-Built Mobile OfficeL
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/6,g a
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 onwater 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.
�i(� Lp ix� APPLICANT FILL IN BELOW THIS LINE
Name of Owner �i -../.� _a' .d _..s• -es � Address � � � .� ' - 41d�� ! Phone
Architect Address Phone
lino' Ql920/
747-(,/7_t3
Engineer !/� //jj �/
Contractor U%4P , ./,1,141 - /.r.LP� f'./1-•
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Address _ Phone
Address Phone
Parcel Number / 02 SO,- e270,_,
0C,f9 TS - / - /G. / tit N, "/ 7, S
s'o, .sr. O/Zc/N.4,Qn Av.E AL1D
RQADWAY R/W WIDTM
SCR PTION OF WOR: New iC Addition Remodel
Size of Lot /8if V 4 9c'i
-/Z7.3 vftc, s r. w,
V -And .
Stories / Dimensions 4 /
Moving Bldg. Zone 1 Fire one 3
Sewage System Const t tX*c •- �rlX^�
(Fr.. Conc.. Br., etc.)
/4 •i /o Total Sq. Ft. 996 valuation 1-1/ 1/g °O
Rooms Baths / (FuiBpert non/A Foundat
ion Const ( T, Chimney Al Fireplace NA
-{- q (Kind) (Number
- Ext.Finish Oit?t.- Int Wall Finish Ff/e�-
No of Units Bedrooms
Heat. System A. Type of Ro/o/fing
Use of Bldg. �-111
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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.
NORTH
.,Q.2_ C<, ttaz-ha PJ apea vv
SOUTH
State License No.
`7",Gf.�GCPil�
Ind. Ins. Acct. No.
RESIDENTIAL COMMERCIAll
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I' nele rt /O`7,7$
I hereby certify information s bmitted is correct and there are no other structures located on this property except
as shown.
/. -a...A-77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit P4 ('79"i Receipts+ Z 3- Issued
Remarks
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The zone is 1
Form 523 Bldg. Code
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