1974, 03-12 Permit App: K3873 MH County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
3
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i 0.
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 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 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. l�
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ',v Address efr S . /�l' Phone y Y7 SO'
Architect Phone Engineer Phone
Contractor C,x--....ti.e Address Phone
I Legal Description f Property (Give complete deacrip io rom deed, tax receipt, etc.)
0'1 / /?/ �-C/(l' l/ / ./ 41s- _,(f. -
DESCRIPTION OF WORK:New v�
Addition Remodel Moving Bldg.Zone ./ Fire Zone
Size of Lo 709 X /c9'S Sewage System Stories a
u
Const. Dimensions /�-X e O Total Sq. Ft. 720 Valuation -7,1"��
(Frame,cc..)w rete,brisk/etc.) /� �Q
Rooms Baths /�'t" Basement Foundation Const. l .L>» t (I�-44 " Chimney Fireplace _.
e4oefs(Full, part, none) (Kind) (Number)
eat. System _ Q Type of Roofing Ext. Finish Int. Wall Finish
,Ise of Bldg. 7 ' ' 16' " ' No. of Units / Bedrooms 2Garage 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.
NORTH State License No.
Ind. Ins. Acct. No.
Tr
REQUIRED
(�= Plumbing Permit
m Heating Permit
m
to to Sewage Permit
-t -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. Vii ? 3 ' /.2'" `-/
7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(f -ri,i -7114t2_e: DO NOT WRITE BELOW THIS LINE
Your street address will be /2 /7- The zone is 4,-z4.41.4...4_24„._
Sewage Permit NumberIssued Building Permit 433/ e
ceipt.,.T3s ' Issued
Remarks
ir
Form 523 Bldg. Code
w
I
i
•
y
d
I
•
''s, 1 k i
•
17,.
•
ii ` t
\,1 1
AVIA ES I LIE?
. 1.'• ,i:„..)(CA
S. 812 � ► r� t� � AD
•l
- ' -4.. `-:
-t
„ frq
TJa1
�__ 1 ' ySirh^..�4: i dam
fe
.._..._�rDv...:.._»._....,. / ^,V:''',...Z.,...::4:
er! ! '�// r...�i '..,h;wl.,..�.a..t. :�i ' ,....: ,.. C... .........,n. G. '� p?, fir, � �
r
98/25/2093 l7:31 707dY41bt arcnu ono • -- -
,,,ttt�����y it
r
County of Spokane, ashington
/ILDIN
NG CODES DEPARTMENT, COURTHOUSE.1 SPOKANE;WASHINGTON 99201
i
APPLICATION FOR LAND.USE OR STRUCTURE PERMIT
REQUIREMENTS PERMIT FEE
land use or structure permit is required byCounty Resolution to erect a building or structure Of sn1
building or structure already erected,.or to chage a land use. Construction mast conform with the
ding Code and Zoning'Ordinance. Construction is.sebject to inspection.
WATER, tater supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the aaphne,. shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SUM. Permits are required in all cases by County Resolutlone Noe. 45-133 and 47.235.
SETBACK PROM PROPERTY LINES. In moat 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 eel-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 la accordance with stakse: Points of ingress and egress must be approved by the County Engineer.
MOVING OP BUILDINGS. A permit ie 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, eto.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants:or dedications and eaeeaente running with the land •
which are enforceable through civil notion. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW'THIS LINE
,,,�,JJ// p/.1 -s. -'-, jr moue ,- `o'1"-/S a.
Name of Owner�y'����� �' Address _9
Architect Phone Engineer Phone
Contractor ..5;7;04-.r.r„le Address Phone
Legal Descriptiompf Prop (Give completed r i omsdeed, Aar receipt, etc.) ' •
hi'/ - ..0°1r . " /7 -,9 -may
DESCRIPTION OF WORK:New "T Addition Remodel. Moving Bldg.Zone / Fire Zone
Size of Lott Twit X /(29's S Sewage System Stories "r.
Cont. •-.•-4P Dimensions __.._._...Q1 X 2 b Total Sq.Ft. ' Valuation 7.2-"�\
(Frame,con)grete,briet7c 1e c.) D�� —._
Rooms_1_Baths //`Basement " Foundation Const. t�7Y1 ' (..11e ' Chimney Fireplace
Full,part,none) ;� (Kind) (Number)
Heat System Typo of hoofing �'s�4'•r Ext Finish ....— Int Wall Finish
Use of Bldg. • ' No,of Units / Bedrooms y-
Oarage or Carport Attached _._,_,_,_. Private Detetched
PLOT PLAN
Draw sketch with dimensions allowing: (1),property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4).dtetanoe to property lines and streets; (5) dimensions of buildings; (5) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. Ne.
REQUIRED
o Plumbing Permit
we ^"�-1 ra Heating Permit
Nn 'is Permit
•.e y
Plans Received
Plane Checked
Plans Returned
• Plans Picked Up
Plans Mailed
SOUTH, ,,'
. i'
I hereby certify.information submittedis-correctand there ace no other structures located on this _operty except
as shown. yJ�� 1 �i - 1 ' -3�
•
Owner or Agent pate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS,IS NOT A PERMIT.
DO NOT WRITS BELOW THIS LINE
Year street address will be /7.9-/7 - The zone !a
Sewage Permit Number_______ Issued Ruilding Permit Receipt Issued
Remarks IMP G R TA 11 T
This copy ` be Presented
to the l.nvlr( ci .tai 13ea1th
D1v)elon t'o_.-:1% :S;:rd-rug
AUG 22 2003 15:34 5093241567 PAGE.04