1979, 06-18 Permit App: N3756 MH ___ _ ____
Cour , of Spokane, Washin( on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT _/, Pi
GENERAL REQUIREMENTS PERMIT FEE
5 V —
PERMTT 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 t
or structure already erected,or to change a land use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set-backs.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress and egress.
1 COUNTY ROADS.Work on street right-of-way may not be performea 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 building(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.
1 A- ICANT FILL IN BELOW THIS LINE
Name of Own- „v / ,i . - _ ' a /// Address Phone _
Architect . Address ; • - Phone __
Engineer_ Address Phone _
Contractor � i. i O>) Address Phone
Legal De ription of Propert (Give compp^ descri/potion fro/deed,/tax receipt ts.).__Parcel Number_/7 5.5 C)9//
iy 6 -a-4E.ILL _
DESCRIPTION OF WORK: New ----- Addition Remodel Moving .. Zone / Fire Zone . ..Size of Lot , t c; X//C�X57) Sewage Syst:.i .d!16._ onst�% y?-{ ,
Stories Dimensions .____ � __,4 16 6 /J Total Sq. Ft. Valuation_ i I • d
Rooms �f Baths Basement foundation Const..., ...._____. Chimney /1 Fire ce�
/
...,,___Full, part, none) �_ Kind) (Numbar
Heat. Systeme,&lits� Type of .fing 4/,I , / . ' Ext. Finish CInt. Wall Finish � 2.c/
4r� J
/
Use of Bldg. 43.S.0 ` -. La—. ! _._ No. of Units Bedrooms .�
ROADWAY R/W WI A-0 f r
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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 State License No.
13i Ind. Ins. Acct. No.
so
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? RESIDENTIAL- COMMERCIAL
c ,eft"-(A f �.k, 6` ` REQUIRED
' � Plumbing Permit
m Heating Permit
t^ ' „_ � N Sewage Permit
N. , Plans Received
61-14- /2<-6-1,1-4- _e_ ,4 (- 0
6 t Plans Checked
'1 6 Plans Returned
Plans Picked Up
D1 . Plans Mailed
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SOUTH qr(Yfe)q624-c-tt
I hereby cA tify information -,ubmitted is correct and there are no other structures located on this property except
as shown. L
C Al .... — 6 ._ rI-75
Owner or Ageit Date
ic' A LAND USE OR STRUCTURE PERMI' MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
DO NOT WRITE BELOW THIS LINE 37f
Your street address will be �Q / q � i
/ 751 / �-(-2oe 1 _The zone a. A/ ii__ r ��w�"�il�
Sewage Permit Number _ _ Building Permit
- Receipt 4,1.4„/ Issued _
Remarks --- '
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