1972, 03-17 Permit App: J2212 MH1 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 erecta 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 moat 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 .21 &
'I a Phone kvA-(o a64i
Name of Owner
Architect
Contractor 542.4,44.6./Legal Description of Property (
467 ; "Y- N
-
ddress
Phone Engineer
Address
%4 513 r�a/L.7�
Phone
Phone
ive complete description from deed,
,CO 7 61.
,Agrf.441.e 4i. / 9.5 HS
t x rece
DESCRIPTION OF WORK: Nevi Addition
S{',o�if�L.ort1, _($_ .r / /Jr ti.LI.
Cd(tsf. "' I �f44imensions J�G7�(/ 0
_ Remodel
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(Frame, concrete, brick, etc.)
Rooms Baths ../ ____Basement Foundation Const.
(Full, part, none)
_ "�} Type of Roofing
Heat. Syste
Use of Bldg
Moving BldgiZone
Sewage System 4_g( -
Total Sq. Ft. -.56-4 Valuation
. Fire Zone 3 •
Stories�� OO �O
43,lo-c (_rhimney
Fireplace
(Kind) /1 (Nu her)
Ext. Finish'` Int. Wall Finish „/T-- .[�,
No. of Units Bedrooms •?
Garage or Carport Attached
Private Detatched
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
i3
1 Ti'TA/4b/?
EXIST/NQ
QA RA& E
R .Stat•e 'License No.
lt-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
aw Heating Permit
M
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plaits Picked Up
Plans Mailed
SOUTH
I hereby certiy Information submitted is correct and there are no other structures located on this property except
—/ 7—
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
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Owner or Agent
a O- 144gai
Your street address will be�-- ��D�'"�'�
/503 /M.1 /k� •rne zone is ' *
Sewage Permit Number Issued Building Perini Receipt Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code