1974, 05-21 Permit App: K4659 MH County of Spokane, Washington "N.
J BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 (
J APPLICATION FOR LAND USE OR STRUCTURE PERMIT 44// 4, 4'
GENERAL REQUIREMENTS PERMIT FEE I
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
1 /
Name of Owner J''. L e'` ,_ • Address e9i v�--5- , -s-d-.-- -(/ Phone v" '/ 57?0
Architect ..-z ' Address - 'c--0.4 . Phone
Engineer Address Phone
Contractor Address _ Phone
Legal Descript ' of Property (Give complete description from deed, tax receipt, etc.)
// - i . 3 - /"2--/ - P 4 t, / :. ' ''/. // �5 y5
DESCRIPTION OF WORK: New ' Addition '--" Remodel -- Moving— _ Bldg. Zone /Fire Zone t 2
Size of Lot 77' -4 / .-5 Sewage System S • 7 Const. «="--(
A / 7::1--el
y (Fr., Conc., Br., etc.)
Stories_L_Dimensioq I--'` 6 6 /; T tal Sq. Ft. /s Valuation .9' (- r)
Rooms ,5 Baths/ !! Z Basement Foundation Const. i "-4'-o r== ' 1`2 r_-Chimney Fireplace
(Full, part, none) /7 (Kind) (Number
eat. System Ty of Roofing G Ext. Finish -"�- Int. Wall Finish --
Use of Bldg. �' sa 7 No. of Units L Bedrooms ,
til
PLOT PLAN
Draw sketch witmensions 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.
1,-Q-(2
REQUIRED
Plumbing Permit
in Heating Permit
in --ato •" H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
---t)„,.._ Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structur s located on this property except
as shown. ? ///
7 rem - /
' ,?//-7/.--/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(Ut -7/444._co DO NOT WRITE BELOW THIS LINE y�,
Your street address will be /7,//6The zone is P_.0.4,%-U-,,ct, '-6
Sewage Permit Number Issuedd Building Permit Z/4-, ,..�. Receipt Issued
Remarks
Form 523 Bldg. Code
W
tt
F
•
1 i
AAl1
d F
l�
"'_ _ I5._...6_,,, _ _ i Q%'� ?rtr'
utST, VALLEYEX'ilA VA fillg ?41:'1;''' ' . '
aIs
g DI MAN hbAb
,. /7110 -/.7z,
//
d/ 3
er
/67 rhh •,'
, "W. .;'41,,,*"' '' ' V' 'lir'. '
.--€4- olte,s, ,A ,. - , ''
.I.
k