1975, 01-06 Permit App: K6586 MH 4 4.
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,�//��
GENERAL REQUIREMENTS PERMIT FEE ._Yi_
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. 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 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 y► .,Vie.
Name of Owner. f72,1 Address - Phone 7 J P.7-S_y
Architect Address Phone
Engineer Address ,_ Phone
Contractor Address Phone
Legal De iption of Pro.-r Give complete description from deed, tax receipt, etc.)
/ . • cD.S-'Y/ - /
.
i
DESCRIPTION OF WO' ,New L" Addition Remodel Moving / Bldg. Zone Fire Zone V •
1 S -S: -`'`CV /�.`a."tO
Size of LothSewage System-
+ onc., etc.)
cs>
Stories Dimensions / c9 f K .17,i79 ' Tota Ft.__42_ '5 aluation e;
Rooms Baths BasementFoundation Const. Chimney Fireplace
(Full part, none) (Kind) (Number
iHeat. System, • p• of Roofing„ Ext. Finish Int. Wall Finish
Use of Bldg. i/i. _—"/ __ de.. cZ ,- A•.-s :-"t-s--e No. of Units_Aedrooms
i
PLOT PLAN += -
• :w sketch with dimensions showing: (1) property lines; (2) street or road loca.r ons; (3) location of existing and
1osed buildings; (4) distance to property lines ar streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH C 616 / --- 7-ci She License No.
# ' Ina. Ins. Acct. No.
REQUIRE
j ,D 7 Plumbing Permit
e+ Heating Permit
in a
N N Sewage Permit
- -
Plans Received
Plans Checked
Plans Returned
I ..- Plans Picked Up
A6 Plans Mailed
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/ er
o SOUTH �cr_t�.�
h by cern information submitted i correct and there are no other structures located on this property except
as sho
.440" + / ,_ 7�
/z/Ai
Owe or Ag-,. Date
A L ND USE OR STRUCT E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TNS IS NOT A PERMIT.
c9/1,(.-1'pi 3 DO NOT WRITE BELOW THIS LIN,
_
Your street address will be � �
�� 73,5- ./ '=, a zone is Of.
Sewage Permit Number ss Building Permit (o a Receipt '• �
i ssued / "8'75_
Remarks
Form 523 Bldg. Code