1974, 11-04 Permit App: K6240 MH via —: _ .. .,a.
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,.//4, / --'
GENERAL REQUIREMENTS PERMIT FEE
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 ///'—/9
/ 'r' - - ," Phone 1�� 7A-3
Name of Owner ,Iif,�.1. .4 , . Address
Architect Address Phone
EngineerAddress Phone
Contractor %' Address-- trm-i --- Phone-.14=1 - 9
Legal Deription of Pr rt (Give complete description from deed, tax receipt, etc..L,
`--Z-4'?"--.4_,t740-e. i ,� r�/C...�!." :)y—3/ 0 G, /.�.)
`ett.ca - ' ' .-f eiL Z /dI" F f a._,:e . - t.L /5 4 � -aL-r-L c.
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DESCRIPTION OF WORK: New / 'Addition Remodel Moving — Bldg. Zone / Fire Zone V �/
Size of Lot 6.,3 ' X 2 7 e/ ' Sewage Syste "'r' .- .I Co c., etc.) .,
Sto ' s Dimensions,_ /"ice .1, 6. Total Ft. .o , Valuation
s&91'00
Roo s ..Baths semen Foundation Const. CSC �JC.Chimney 49- Fireplace "4/141"( ull, part, none (Kind) (Numb r
He . System Type of Roofing..---79c� '' Ext. Finish r 'lCrc' -��yy��o
9 -, Int. Wall Finish P��JZ-e
Use of Bldg. lc�L .,"--e-9 .eq-e-2.- �:✓' �` .-1.e _�....,2__ �fZ., No. of Units=Bedrooms et--C-
L t
172t4. PLOT PLAN x ��--�
raw sketch with dimensions showing: (1) property lines; (2) street or road location ; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH S e icense No.
i , C7-7 "" -Zi-IC--et
1 I kC Ind. Ins. Acct. No. ,
a
���- REQUIRED
Plumbing Permit C/C--
m Heating Permit
m -..._- —
tn� N Sewage Permit
_I 1 -4
N
Plans Received
1 Plans Checked
. Plans Returned
Plans Picked Up
Plans Mailed
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,--06-->e.
I ereby rtify 'i ',,,,i o sj.,itted is correct and there are no other structures located/¼//
troperty except
a how r / / I,
1/ �
ner or Agent Date
A L ND USE OR STRUCTURE P- 'MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
_ _
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Your street address will be 1f' '+_-6 ) l r i'/'
�1�'�JJJ�' ���. The zone is ' - /�
Sewage Permit Number -sued Building Permit '6 2 Y'O Receipt 8:4"J 2_- Issued i7
Remarks
Form 523 Bldg. Code