1973, 03-13 Permit App: K821 MH-County of Spolkane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT REQUIRED. A land use or structure PERMIT FEE I
kind or alter any building or structure Dalreadyserected, orred 9 toUchangesa1landnuse.erConstructionnmust conform rwith th
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
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
\SET -BACK
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.
,p // /s ��APPLICANT FILL IN BELOW THIS LINE is
Name of Owner C�� I�iC �_ L9a vv Address-'�v'0,7 .J7 phone (e 4ir9� -� mac'
Architect Phone Engineer
Contractor Phone
Address Phone
Legal Description o ProperrttA Live omplete description �from deed, tax( receipt, etc.) / /X. ---1--
c- .:., -5-- 4 -'
DESCRIPT
-}-
DESCRIPTION OF WORK: New Addition
Size of Lot Remodel Moving Bldg.Zone/ , /
Fire Zone
7;7 X/%S
Sewage System Tic Stories
Const. Dimensions /� X c3 Total Sq.%?�
(Frame, con ete, brick, etc.) Ft Valuation
Rooms Baths /B
or.
Basement M Foundation Const Chimney Fireplace
/ (Full, part, none) ,y (Kind) (Number)
Heat. System �'! P TT p of Roofing ,4 f�� E Finis
Int Wall Finish
Use of Bldg. 4 6i�t_'_ iinc ,_ 4"7.5 c7 c'S i 7c-iicN
Z -
o. of Units Bedrooms
Garage or Carport Attached
ids
i3
)9(-)
PLOT PLAN
raw 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.
Private Detatched �7 d
m
H
r
I hereby ce
as shown.
of
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
co Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
information s .::'#ted is correct and there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE Date
CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT
Your street address will be yj
Sewage Permit Number
Issued
Remarks
DO NOT WRITE BELOW THIS LINE
e zone is_� s'/4X-f
Building -rmit fi t Z/ Receipt (S 30 Issued
Form 523 Bldg. Code