1974, 08-08 Permit App: K5468 MHON, SPOKANE, WASHINGTON 99201
PERMI
erect a buildin
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t`"„Z'A6��� [ Etc•=
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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 of Owner /vi 0e-�:(2gi•w12-e--€--'Address Phone
Architect Phone
Engineer I _ r _ Phone
Phon
gs ription from deed, tax receipt, etc . Arj_ PZ171,
ZA-tice1- O 2" 67.1-2 - / o o 7
ii4e' i Adr to
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t- elf• * ig>rPEst►
a t• • ,� w
"
eiSditr k` I u t' be,
je 4. a' 44ypts „pry..State
f
1•mit# r .' A.
•
i
egal Descr• ti. Vof Prciyerty (Give com
AL,
/ -st Of
Address
Address
Addres
DESCRIPTION OF WORK: yew !.-Addition
Size of Lot / O S^ )c /‘ :i i
�r i
Stories / Dimensions 2-Kj'C
Rooms Baths - Basement 1f Foundation
II, part, none)
Heat. System
Type of
of Roofing"
Use of Bldg. /T os...A_ 0-4 GA-
Remode I
Moving BId2. Zone,
Const
Sewage System
3
Fire Zone
onst. 3�J
i (Fr., Con2rB51, etc.)
,f /l S ]�Ft f 1lr/ Valuation /7' "G' d°
s'
71•14-r-49-ehimne `�
• #%� (Kind) n� (�Nr
Int. Wall Finish Y
No. of Units L Bedrooms
Y C) Fireplace ND
Finish
CL/
JDraw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
N
zr
--V'02
•
NORTH
PLOT PLAN
property lines; (2) street or road locati.::, (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
• * • it e
I
h
as shown.
A LAN
THIS I
eby cer
SOUTH
informs:CIE sub ' ted is correct
er or Agent
U3E OR TRUCTURE PERMIT MUS
NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
and there are
State4< License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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no other structures loca ed
Date
E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
this property except
7
L
DO NOT WRITE BELOW
HIS LINE
Building Permit
The zone is
Receipt
Issued
Form 523 Bldg. Code
1