1975, 06-02 Permit App: L0284 MH1
• iv," se- •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON INGN 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '7 ��-
GENERAL REQUIREMENTS PERMIT FEE If
/
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 coafdrm 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 Offle.
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.
s
nd
ents
with the land
whichIare enforceable throughrs civiluld check action. Countysions of Officialsocanants or not bringdactionntoaenforcemcoovenantsior dedications.
APPLICANT FILL IN BELOW THIS LINE 7 7,2 0
Name of Owne
Architect
Engineer
Contractor Address
Le al ne ription ofP•operty ( e mplet description fro eed, tax receipt etc
fP
7/L
Address
j2zi � o?i- Phone/ 3 T 72-1
Address Phone
Address Phone
Phone
DESCRIPTION OF WORK: New Addition
Size of Lot /00 Xg
Stories / Dimensions 9
Bethel.).Full. part`_
Sy rioting
Use of Bldg.
Remodel
Foundation
st
'�^ I� (Kind) (Number
Ext Finish///// Int Wall Finish
O _S� D No of Units
Moving BI Zo ( Fire Zone
Sewage Syste ' • t.
Conc., Br. etc.)
—Tot Ft. — Valuation+a'S/ p 0(j
himney Fireplace
P° �J
�Bedrooms
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
COMMERCIAL
f Q7-4
nom% I w` It
\7Y
State Licen No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cartjfy information subiit corrct and e are no other structures located on this property except
as shown.
Cif
Owner Agent Date
A LAND USE OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(%< 7 64402
DO NOT WRITE BELOW THIS LINE
Tour street address will be
g-� -
Sewage Permit Number Issued Building Permi
Remarks
The zone
Receipt,
is
Issued (o
Form 523 Bldg. Code