1971, 01-04 Permit App: I3266 MHi i
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT . ai
GENERAL REQUIREMENTS PERMIT FEE lb
;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. Wateri'supply must be approved by the County and State Health Departments. Where cork on water connections distuins
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 thestructure 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. (4
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building Is moved on a County or'-Siate
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.
jANCORICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
_ r which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
•t NAY-
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Name of owner NAY- UISC.ASCI,, Address �,IgIL3 %IIF4R4N uR. phope (,t)It-y+48Y0
Architect Phone ELgineer Phone
Contractor Th CM4STec Address QO110x-7, C./Ler•.actnay Wt.) 14G4%phone”(--34-4 439
Legal Description of Property (Give complete description from deed, to receipt, etc.13
tot It Bleck-4 -ilA-Rice-sL r4A-o nova; 1,
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone .3 Fire Zone
Size of LA_ f12/ Ir// '11 Sewage System &er e_ Stories
Const. mai-Air Dimensions /2Y70o I Total Sq. Ft. .72-0 1 Valuation C011') i
r'
�
Rooms Baths / Basement A.13Foundation Const �(.OGIG Chimney N 0 Fireplace0 0
(Full, part, none) _ (Kind) (Number)
Heat. System (EL L,k'� H
Type of Roofing N Ls L-. Ext Finish M L. Int. Wall Finish ‘000 4
Use of Bldg. Mo61 le_ , rxe fb (C. esbeD+C a No of Units 1 Bedrooms Z
Garage or Carport Attached Private Detatched 1
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(Frame, trete, brick, etc.)
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing anG
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
Ind. Ins."Acct. No.
REQUIRE( D
Plumbing Permit
n, Heating Permit
us Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify intgyms n su,:melpte is Fort and there are no other st ctures located on this property except;C
as shown.
n
iGGci- 7t
Owner or Agent iii Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTmA PERMIT.
(9.44. "litn,'ct.-0 D DO NOT WRITE BELOW THIS LINE
Your street address w111 be [� , Q ?Z3
Sewage Permit Number Issued Building Permit II.) - Receipt 7, VS Issued
C Remarks
e zone Is
frd 24„,_
Fenn 523 Bldg. Code
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