1990, 06-12 Permit App: 90002661 MHSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456.0675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, 1 have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. 1 understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 910002661 DATE= 06/12/90 PAGE= 01
APPLICATION
3aii3fiF3l••Yf1E'JEbFh)t)l•$FdF1E•$•Sl'dfii'9iJ@ii3Eii3fdiii*** APPLICATION 'ii# 3i§i7i3HEdFi69tdF'tt)P'Hii16')i1Pd6a*ik9Fk#')ri iE3 ifi—b:
SITE:: STREET= 6 704 E 5TH AVE PARCELO= 24531 --2708
ADDRESS SPOKANE WA 99212 -- -
PERMIT USE= .SINGLE WIDE MOBILE HOME -- REPLACEMENT
PLATO= 000735 PLAT NAME= EMPIRE HEIGHTS ADD
BLOCK== LOT= ZONE= RMH DI:S'U.=
AREA= i=/A::= F WIDTH= 56 DEPTH== 12'? R/W== 60
,r OF BL.DC„'= r' DWELLINGS= 20
OWNER= DOTY , RICHARD
STREET== 4218 S WOODRUFF RD
ADDRESS=:: ,SPOKANE WA 99206
CONTACT NAME= GREE BELL PHONE NII,Irtc..R=:: 509 926 0767
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
3i i**int'.a.:n..x'...•3* i..u.rt.)i.*.*3t'.x :,t*.u..lt'u'li'*iixai :3ix* REVIEW INFORMATION 'hi'/4ii1iri'3i'ik'1('•)iii'ii'iii{'A-0{ii**;t X.AXtri'**
PHONE=: 509 924 881 i
DEPARTMENT
REVIEW COMMENTS APPROVAL COMMENTS
e=F?.-�'.'.1r4/
BUILDING SETBACK REVIEW REQUIRED
i-IE::ALTi-IDI ST NEW OR AIiDI-r"r 'Ai_. WASTE: WATER
3k3i'3l•3t3til'3l'3ih'3i3h31'3f3k31* til'itillI•'ll'il'it'lkil'itil'it •)F MOBILE HOME PERM iiiiA'#iris#ifiiiiii'ri'ii'ii)Ek'ifififiE )r ii ii'kkii'k'
CONTRACTOR= OWNER
YR/MAKE= 1959 ELAMIGO
5ERi:AL.'v=
PROCESSED BY: WENDEL._, GLORIA
PRINTED [Y: WE..NDEL, GLORIA
#it'3i3i'ii3iit'vci(7iu.' ii3i'3i' ii****••li 3*** ii* 3i .: •h:}; ii* THANK YOU ii..tt..•.ii.liii.lEii'iiii'ii..#•hii¢ii 3i.)i..*)i .3* ifl***********
HONE=::
MODEL=
WIDTH== 10 LENGTH= 5O HEIGHT= 10
I'
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
2(153/-2707
STREET ADDRESS:
(P705( 5cN
CITY/STATE/ZIP: 5,a9ka4it /v64 992..17
SUBDIVISION:
BLOCK: LOT:>-_ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:�I
OWNER: D it t- D() �(///�J 1 PHONE: - /S „(y/� /
MAILING ADDRESS: /hi' b S (�/Q0,opurF Q/r, ,,!
✓
CITY/STATE/ZIP: F®¢- h -e-- bon 91;12—
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
4M1 Im•
•************ ******************,tar*********** *******************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Colunty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '77 ° o
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 47235.
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
Name of Owner Address /f/ /D4" � - )-O' Phone
Architect Address Phone
Engineer Address Phone
Contractor fn'+t.� Address n
Legal Description of Property (Give complete description from deed, tax receipt etc I OAtt/ ,2 ) 4/—c 70
,'(ate / 9 $ a o/ f 3, 9 A,i e,
ASJditiop _ _ Fjgmodel Moving BIdg4 Zone _ ! Fire one
Size of Lot
Sewage System Const.
'�
129
DESCRIPTION OF WORK: New
Stories *Dimensions
Rooms Baths ,y
(Fr., ConcA..i Br., efc.) m0
To al Sq Ft 0 ValuationTL
Basement Foundation Const Chimney Fir place
�� bb (Full, part, none ( ind)
1 Heat. System Type ' of Roofing
Use of Bldg. f P"`� Q/1 /IDdY A ii No of Units_ Bedrooms
Ext Finish
Jrt d.X
Int Wall Finish
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.
SC. NORTH
` 17yy_v✓ ._z
/o
COMMERCIAL
N � T •o. T ,
n "tom
y1
iii
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
tw Heating Permit
Sewage Permit
Plana Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert fy information submitted is ,orret and there are no other struct es orated on this property except
as shown.
Owner or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(54w yy .4.4aL DO NOT WRITE BELOW THIS LINE
Your street address will be (p 704 7 (, - ✓4111
/
Sewage (Permit Number Issued Building Permit`'STp
Remarks Y 6-5-
5- -
The zone 1
Receipt
Form 523 Bldg. Coda
..t