1975, 01-28 Permit App: K7306 MH n
- County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
/e)REQUIREMENTS PERMIT FEE ._
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or s ructure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
I 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.
RESTRICTI CO S 0 . Builde , should check provisions of covenants or dedications and easements running with the land
which arg . for eathrou ivil ac,ion. County Officials can not bring action to enforce covenants or dedications.
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{Z> • PPLICANT FILL IN BELOW THIS LINE
Name of Ow , : %f, • ke`.—' w�rc"'�. .--address- e- e'_e- iC�, Phone 9.2V--1600
Architect Address Phone Cr 2k-'C>lj?(o
Engineer Address /
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jPPone 9�'
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Contractor_ i4%L -e.P i 722,e0- --x---Address. � e:( G/phone 7`Z/---- cry�'i
Legal Despription of op ive compl e descption from deed, tax receipt, etc.)
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DESCRIPTION
yDESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone �- Fire Zone - ' -
Size of Lot 1/4—Ve,1> r S( \? / Sewage Syste —
Fr• onc.,`: etc.) _ ,
Stories
Dimensions �� X .� %� /Toyal Sq. Ft. ValuatiorreAl
Rooms 3 Baths / Basement I Foundation Co t. i _4. - Chimney
(Full, part, norfe�-2.0 Fireplace
1 _ 1 (Kind) (Nu r
Heat. System ..k.:'.' % _ Type of Roofing `/_f'2B' Ext. Finish; Int. Wall Finish y'd
Use of Bldg.. _2-- - - .e ,t-4 ....A.-� _ of Units? .Bedrooms
y /i/.//4-'� —�.t �G ,' PLOT P ' f ' ?L// 1.
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aw sketch w dimensions showing: (1) property lines; (2) street or road loca ions; (3) location of existing and
oposed buildings; (4) distance to property lines a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
61" 1--) N Si� Al' ' .-/�- S - e 'icense Nom
..&eit �e--L, ? , i' . /g Ind. Ins. Acct. No.
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Plans Received _.
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1:1/21-)e-secIre, Plans Returned '"_ ''
�.-J7c -t et Plans Picked Upl
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SOUTH v►..r�rg i� pt--'
I here. certify information submitted is correct and there are no other structures 10 oif ''- . „px�pg,rt ' cept
a- show.
M"� - Owner or Age f Date
A LAND USE OR STRU • - •ERMI. MUST BE ON THE PR ISES BEFORE CONSTR ' ION COMM FES
THIS IS NOTA PERMIT. 4 ' , , ,Q� - -, . . �i . 611., / ..„` • / . . J - •
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Tour street address will be ' ! _ - ..440,111311
Il /j //�'The zone is it � r
Sewage Permit Number -s ed /��� ' / •
•u ,•ing Perm t rift , Receipt e Issued �/1 5//7.S
Remarks/a �,T• - i�r._ 4iA y�%s./i .�c� -- ?� I
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Form 523 Bldg. Code �^ _- �`.d 'i yu1 L- '.' �+���/�yL j� ; - ',/�' /( �.7
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