1978, 12-04 Permit App: N1604 MH 7
Cour` f of Spokane, Washin' 'on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 41T,I,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
00400,
GENERAL REQUIREMENTS PERMIT FEEJ`-25"
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set-backs.
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 performea 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.
I 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 building(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
me of Ownerj-o.<qu2,;pe- M.bctU krhnQn Address 5__ I 1 J 60 wd i SYl - 9`��?66, Phone 9_ 2-1?-30 cr 17
chitect .. l�� Address _ Phone ___
Engineer_ Address Phone ___
Contractor �0.v✓1Q Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number OG,5-6=-:q- ocpv
LOQ- Hyl L/ock 13 noAwood easy S'Lib. - —
DESCRIPTION OF RK: New_, ___ Addition Remodel Moving Bldg. Zone ..__ 1 Fire Zone. 3
Size of Lot _ r7 X 1 as-' fw�r�xr5y,
Sewage System Const,t'>('Ql1a�P °►- fVtc��rx
t //" S�Pq'te- (Fr., Conc., Br., etc_.)
Stories Dimensions /‘-ht t' QQ Total Sq. Ft. 11 2q Valuationt_ ____
Rooms• if-Baths I I/Z Basement 114 Foundation Const. f 1oCks Chimney /1/0 Fireplace— 0
��'�� (Full, part, none (Kind) ( umber
Heat. SystemE. FBF- Type of Roofing CO mill. Ext. Finish I4Je*. 1 Int. Wall Finish _ A}lei
Use of Bldg. Mo10;le 1-1-0 ete € 5 ees; device. No. of Units ' Bedrooms 3
ROADWAY R/W WIDTH S6'
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.
1 ."N NORTH State License No.
�V/ Gwneif-
Ind. Ins. Acct. No.
.. ,i( / f i ' I /j41-/kjida,14.,,,
RESI NTIA - COMMERCIAL
IRED
Plumbing Permit
rn Heating Permit
vi Sewage Permit
-(
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here certify in/ormation submitted is correct and t ere are no other structures located on this property except
as shown. 2t
' _ 7 y ��--, �� ", .. d _ - /;2-/f1/7 i7
Ow er •/Agent Date
A LAND USE OR TRU TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
0714. ,a DO NOT WRITE BELOW THIS LINE
Your street address will be 4v ,33/1 4/O�/ Q lll� �Ime
.A __She zone is k5 b f/0
Sewage Permit Number Issued _ Build ing Permit Recei tc-y
PIssued
Remarks
it.
Form 523 Bldd. Cods
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