1973, 10-23 Permit App: K3139 MH1
tea., a
County of Spokane, Washington
• BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE o d
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 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 47235. ,
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.
APPLICANT FILL 1N BELOW ��THIIS LINE 24' y�o
Address OLO 9z /!'7ew7 Phone 7 �i/ei e9 c)
Engineer Phone
Address Phone
Name of Owner 5-4;17 / %ars h
-
Architect ¢,/4--
Contractor -
Legal Description of PrA pert (Giveompleteidesc
cription from deed, tax r ceipt, etc.)
2 jot/6/rk6 Ooiy coda1 E?'/ %/cox/r / ias c lc/.2
6 -as -vs= > &Cetee,_;1-e-
DESCRIPTION OF WORK: New
Size of Lot 7 )0/C
v _2C---! Dimensions
con rete, brick, etc.)
5 Baths L
1
oms
Addition
Remodel Moving Bldg. Zone Fire Zone 3
Sewage System Stories
Total Sq Ft % Valuation Z000
�c>2)(�00
Basement Foundation Const /,�O�l� Chimney 4//9 Fireplace /liA
(Full, part, none) (Kind) ,,., "(Numberr))
Heat. System e% e--// ('Type of Roofing=��1.P -Q Ext. Finish /J9r O�Gir-r/ Int. Wall Finish 42P -e r v_X
Use of Bldg. V / (r // (�I1LP_ 91-.i %r 1Y ch -A-4--11 No of Units) Bedrooms
Garage or Carport Attached Private Detntched. e —Q --)
�" PLOT PLAN
Dra sketch with dime ions 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
I hereby rt y informstion
as shown.
Owner or
SOUTH
:ted
is correct and
State License No.
Ind, Ins. Acct. No,
REQUIRED
Plumbing Permit
nn Heating Permit
N Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
o
c
there are no other structures located on this property except
/D—ra-R73
Agent , Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be „/ 9'/ a A/ e'/c_
Sewage Permit Number
Remarks
Issued
Building Permi
e zone is Af
Receipt X591 Issued
en --ear
Form 523 Bldg. Code
e
Gf 23/06 6 72,n to and �_s:/�'/d /del.: Wonie .7 /
_23' / 2 /V/1--4/