1972, 11-17 Permit App: K108 MH• •
County of Spokane, - Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE X3°0
PERMIT REQUIRED. A land use of 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 onwater 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 Nes. 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 thestructure 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 .. 46. -a _ iar. -... .i .. ' ddress .3 t. Phone KS -57-6. AILA1
Architect Phone Engineer Phone
Contractor ,,,Cjjy.t(_ Address Aane
Legal Description of Property (Give complete description from deed, tax receipt, etc.) I'/piPh43.S3/-/24G
w ,7S X-07-3 exc, /?p. aet, tr. / CARU/.YALE ADD.
DESCRIPTION OF WORK• Nyw ler Addition Remodel
tzof Lot ..7141-7-51-5- c?j242-
Co e of Dimensions / X SO r
(Frame, concrete, brick, etc.)
1
Rooms 71 Baths / Basement
(Full, part, none)
Moving Bldg Zone Fire Zone .-3
Sewage System -E1 Stories / , n.
Total Sq. Ft. 4.0 0 Valuation a DOO
Foundation Const ea -7C 13.24(.. -‘‘Chimney
Heat Syste
, Use of Bldg.
(Kind)
-��Z�.
Ext. Finish """• Int. Wall Finish
r1.
No of Units
Fireplace
(Nulnber)
N/
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.
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No/40
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SOUTH
I hereber.tify information submitted is correct and there are
as shown.
State
lI Licensei(��No.
f ! .uJ�fX/)_
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 1!
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
ner or Agent Date
A LAND USE OR STR
THIS IS NOT PERMI
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be e ,
�'3 20 3 L?.,•.(.V
Sewage Permit Number Issued Building Permi
Remarks
6710 t/C
e zone is/�-[�_p/1'f-t,(A/.JW
Receipt I%g3'+ Issued
Form 523 Bldg. Code