1972, 09-25 Permit App: J4548 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �G
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta building or structure of arty
kind or alter any building or structure already erected, or to change a land use. Construction most 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
andlegress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
%ormed
in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
NG OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
way, clearance must be obtained from the County Engineer and/or State Highway Department.
SSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. .
RESIrRICTIVE 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 ownerJ[NNk GEC . Address F—`- Mal /MeieTF! Phone
qZ�-z3 y3
Architect • MIKE 19224 MontgomeryK Phone
ie Ettg [neer
E. Phone
Contractor Address
Otis orchard, Wash. 99027
Legal Description of'Property ((jive complete description from_deed, tax seceipj, etc4)
Lot ll, /S/uck/2 F!L -'z rots Sad Mobile Ates - Fit'r , dr-It0,t
0-
DECRIPTION�i OF WORK: New V" Addition Remodel
Size of Lot '90
/ DI )C //7 t
Const -MAME' Dimensions 1)"1 X6A
Moving T. Bldg. Zone ___L____ Fire Zone
Sewage System Sets Stories
Total Sq. Ft. / Valuation
(Frame, concrete, brick, etc.) ,' ``
Rooms S Baths i IV
Basement V Foundation Cons
(Full, part, none)
Heat. System x3!w C [Type of Roofing
Use of Bldg.
Qomea-f A1Ot.EIchimney
N`4 -
Ext Finish
QR
Garage or Carport Attached
NO Fireplace N
(Kind) (Nu ber)
Int. Wall Finish W Oca
No. Of Units _L.. 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.
m
N
H
NORTH
s c
pr*Pc- eva
I hereby certify
as)shown.
SOUTH
nformation submitted i c ect there are no other structures located on t is property except
66
REQUIRED
Plumbing Permit
• Heating Permit
to
• Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent
Date
A LAND USE OR STRUCTUf PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
,i THIS IS NOT A PERMIT.
9 43
%2
DO NOT WRITE BELOW THIS LINE
. e
Your street address will he loll( fit a The is
Sewage Permit Number Issued Building Permit/ t 14-0j zone _ +sQ.f,Issued
Remarks
Form 523 Bldg. Code
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INCORPORATED
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117'
Barker Road ond Buckeye V
Greenacres, Washington 99016
', WA 4-9880
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