1976, 04-26 Permit App: L3616 MH Ctnnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITBg
GENERAL REQUIREMENTS PERMIT FEE OW
PERMF? REQUIRED. A land use or structure permit is required by County Resolution to erect a building or st?cture of ally
mind' or alter any building or structure already erected, or to change a land use. Construction mast confo1' 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.
�t �^ APPLICANT FILL IN BELOW THIS- LINE
/Name of Owner / -4.0 7P ..� /i.✓ Address/ VO A— ..i7 pl4- Phone X282-49-13
Architect Address ieee ' gji 44L4( 114151/e;Phone
Engineer �r J Address e:
91"1 Phone
Contractor /`fS CJ L- N-r/rl Address„�4 G=-e7 . phone c Z.,, "c
Legal Desc ti of Property (Give complete description� from deed, tax receipt, etc.) 'd - JP_ I
AC /474S"6":1 " 1 30 Li gv r dd W 1s1- r) /i;/ ,i=- l vE %,
F % 1 /U (Al 1.1* O L� .
DESCRIPTION OF WORT: New Addition Remodel Moving BI . Zone._ Fire ne
Size of Lot SO .4 C / /6G J"4_-,, J Sewage Syste G onst. '�', .
/, Fr., Conc., etc.)
Stories Dimensions x Total Sq. Ftwar.2. Valuation
Rooms �� Fireplace I-$-P 4t3
Baths Basement Foundation Const.. himney p
6 i r,s' .Full, part, none 6.6.! n. (Kind) (Numb,,�e,, )
Heat. System ` ,,. Type of Roofing 'u/��Ext. Finish _ Int. Wall Finish -�4' �-•
Use of Bldg. ----- /t,4— t! ���'r'i C a-- �.-? . No. of Units 1 Bedrooms
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 (RESIDENTIAL—COMMERCIAL State License No.
Ins. Acct No.
/4/4177" ."-e--1) 4,611P
Al %ENO
REQUI ED cii
a-3-7 (�
A Plumbing Perini R •
C.I
(` ' V . Heatin, g Permit ,�OrAr/__
N N Sewage Permit lr
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
as shIer r-ify i formation submit d s correc nd t re are no otheructures located on this property except
. �..��,,i,,,�, / r- /
ner or Agent Date
A LAND USE OR RUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A RMIT.
64t ,a-tz-‘6 DO NOT WRITE BELOW THIS LINE
C
Your street address will be 7'',// ' 'at i Ilf%' 4 - The zone is
Sewage Permit Number Issued Building Permit ? , Receipt w% I ued
Remarks
`/ ./,L..�-f`i , __67 I .c.4,1 h` ,)- 54,,' - / j
:..mi n 49/ ,14,E,�,-4 �_ L ,3(/- /G Gt1C.�. ?�c�;i
Form 523 Bldg. Code
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