1974, 04-24 Permit App: K4316 MH 1 w.
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE T2-5-
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-RACK 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
Name of Owner /47--U--4/ �,r-t; -e''. Address /'7? U i 2 i -aer Phone ei-Z i 3/3 1
Architect Phone Engineer, Phone
Contractor Address Phone
Legal Devcription of Property (Giv omplete descri�ti n from eed, tax receipt, etc,) .
. _�`/ ` -/ (Gin
/V/42'<. i4J P� 1 ./1-1,- (2,-44 / Q— 02 wr —V/, Sc—
DESCRIPTION OF WORK:New v Addition — Remodel — Moving — Bldg.Zone 0 / Fire Zone ef )
Size of L t
X �` , Sewage System % T Stories `
Coast .Dimensions 37' X 9- y Total Sq. Ft./.P-6c) s Valuation /0 e-m-z'
(Frame,co Crete,brick,etc.)
Rooms 1 Baths/Basement Foundation Const. f Chimney Fireplace
Full, part, none) (Kind) (Number)
Heat. System a of Roofing .2724l Ext. Finish ---- Int. Wall Finish
Use of Bldg. 9710 19 /Ce-.3J - No. of Units / Bedrooms ..."Garage
YGarage or Carport Attached Privat etatched
Lw PLOT PLAN cr�
aetch with dimensions showing: (1) property lines; (2) street or road loca ions; (3) location of existing and
opose buildings; (4) distance to property lines and streets; (5) dimensions of bindings; (6) location of sewage sys-
tem and water supply lines.
NORTH State L7se No.
11°
1"--r- Ind. Ins. Acct. No.
// // .
REQUIRED
(1?-
ei_.),1
Plumbing Permit /�
m Heating Permit
mea
V' H Sewage Permit
.4 .4
Plans Received_
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certif information submitted is correct and there are no other structures located on this property except
as shown. � /4 J'/ Z
'sem -4P.— / ,�
Owner or Ago Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT PERMIT.
_'/ mc, 74e, DO NOT WRITE BELOW THIS LINE
--4/1Your street address will be 73 "— 3 e zone 1s '' ht:4ee
Sewage Permit Number Issued Building Permit /i1 Receipt 0"75:9 Issued ' 1".-"2-/-" /
Remarks
Form 523 Bldg. Code /
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