1971, 02-18 Permit App: I3550 MHc `'
( DESCRIPTION OF WORK: New V'. Addition Remodel
Size of Lot'7O 1 X are
e
L^
Const ' l ac:m4 Dimensions / %'-gb e r
(Frame, concrete, brick, etc.)
Rooms_S_ Baths j— Basement 2 Foundation Const
(Full, part, none) //all
Heat. System Type of Roofing (YY`ppp p Ext. Finish
y� 1
Use of Bldg. 1" 4.h.c�- cl 1("_"_A aYp,r(,Q
Garage or Carport Attached .'`"8�� No
411
County of Spokane, Washington
• BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT J/ o
GENERAL REQUIREMENTS PERMIT FEE 1('�
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 vltb 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
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 1s 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
Name of OwnerJit w- T P9. £e1c Q( PP,- TT k= Address
Architect Phone _Engineer f..!
Contractor R,U'Q !,,' El(Address Bo s.7 hKmn+Q(nse, Phot b Phone LOP, 4 —9'F".
Legal Description of PropLy (Give completedscrfption from,deej, tax r�t, etc
bb 4/ocksS�-'D1.
n.0._
, dal Mat, Q. hpnt..c
Phone PAA- 4 7 � t
Phone
Moving Bldg.. ,Zone 3 Fire Zone
Sewage System .u'7pbt'J ' Stories
iZo i Valuation riga°
Total Sq Ft.
$ Lock i
Chimney Na Fireplace No
(Kind) (Number)
Int Wall Finish l/,ve'-"-alW -
No. of Units ( Bedrooms Z.
NO
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-
t. tem and water supply lines.
NORTH
Aet Ltd
tchee
SOUTH
State Ltcense No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
1n Heating Permit
Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert iiffy, information subm'7'x�t/e,,d is correct and there are no other structur s 1 ated on this property except
shown. I' Vl.(.(/ _ n v 4L -,/
Owner or Agent /l!/ lM.l7— Date
G
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
1HIS ISNOT APERMIT. it y+ %Aza.eG DO NOT WRITEeB�E�LOW..THIS LINE
our street address will be C . 9,39 motif Le �ClAIM. 6OP.t,i2
wage Permit Number Issued Building Permit
Remarks
e zone is &z) Mei ' `� �'l
3 ceipt c-te
Issued
loon 523 Bldg. Code
'1
171
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41i' 12t)( r A ire
1.0+ el„ks z
, 150( ICNI-Af24-r,4
: zo •
7
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7
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