1976, 06-21 Permit App: L4477 MH(D1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 #
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 341
GENERAL REQUIREMENTS PERMIT FEE
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 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 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.
// 0 1/ APPLICANT FILL IN BELOW THIS LINE
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Name of Owner Cdr / Cr ra toi 'rci Address -7 9 4- %%'« it Phone 92 ik'106CND
Architect - Address
Engineer / C 1 /7 Address -
Contractor/6? /.4,972•°P" ; (11c(?nQ r Address
Legal Description of Property
%nT (Civ com fete description om deed, tax receipt etc.)
/(Dive
c-vCorn ec.-, /1/i/i
Phone
Phone
Phone
07,5-5 / - ago 1
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zon Fire Zone
Size of Lot r RS, 7t )' I1 0 Sewage System, cs` pponst
,/ 1Fa, Gtonc., Br
. etc.)
Stories Dimensions %y X� /�/ Total Sq Ft 920 Valuation �U.0U
Rooms Baths / Basement (WO Foundati000n Const. Oc Chimney Fireplace
(Full, part, none)/ ��/ )Kind) (Number
Heat. System d Type/of Roofing �P apt Finish Int Wall Finish
Use of Bldg. , aii?c� ASnIC a_$ a_ c2c j jtne-t No. of Units _Bedrooms
PLOT PLAN
I 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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify infArmation submitted 'is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE•PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
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Your street address will be AP6e C' ',ail
_ ,c.JBuilding Permit y 4 5Z1, fly.
e zone ie
Sewage Permit Number Issued
Receipt /1 g Issued
Remarks
DO NOT WRITE BELOW THIS LINE
m 523 Bldg. Code
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Carl Ctawf rcl
, 18604 1. _l`/outir- View nRivE
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