1975, 08-11 Permit App: L1199 MH1P
•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT [/�/
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.
S;,T-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
feast 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 IN BELOW THIS LINE
Name of Owner _4J.h.tez ' T euYl MG YY Address !/
Architect Address 9.2o/ Phone
Engineer Address Phone
Contractor Address Phone
Phone 9a y 02•9-14
Legal LZescription.of Property (Give complete description from deed, tax receipt, etc.)
v.ij7 j/IL t.% 4464, Ic N.s.H<- .$✓
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r -0302
DESCRIPTION OF WORK: New ' L Addition Remodel Moving Bldg. Zone ( Fire Zone
Size of Lot J60 )( 106 X 110 Sewage System Greeted k Const /Her"( %
(Fr., Conc.. Br., etc.)
Stories L Dimensions la X 4. oI M 1 Total Sq Ft 72.o Valuation 4 co 0
ROOMS � Baths/Basement l d Foundation Const. $t'at1` 146.44 Chimney_v Fireplace'
`// Full, part, none / (Kind) �% ( umber
Heat. System E/p1Li". Type of Roofing JAcl ? I Ext Finish At c -r- Int Wall Finish r�t^1t-1l^t' ``'
Use of Bldg. fY,.S i ../.>-we e/ Ili„h: 1 n /4- ern n 0(-SNo of Units 1. Bedrooms .2
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
tem and water supply lines.
NORTH
11
n.
to
H
I hereby
as shown.
SOU TH
tify informs t"o sub ted is correct and there are no other structures located on this property except.
Owner or Agent Date
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
tn
N Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
• DO NOT WRITE BELOW THIS LINE
Your street address will be C_ / R--6/ i 2 Vhrk�,-,, 17.,e6 -_,,L9 The zone is v I-£��lt, �"�'-n,n•
Sewage Permit Number Issued Building PermiReceipt Issued
Remarks
Form 523 Bldg. Code
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