1973, 01-02 Permit App: K335 MH County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5---0--a-
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 /
Name of Owner_ dress (Address �r-�Iv6 ®g R 1� Phone /L 99cP7/,-a-.
Architect Phone Engineer __ Phone
Contractor Address Phone
Legal Description of Pro.erty (Give,complete descriptio• f om deed, tax receipt, etc.) a 3 6 3 a —h' a-0 e.
moo - /_ / _ , cel r fir. "�.
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 5-0 n / 5 0 _Sewage System S 1 Stories
Const. Dimensions a 057 aC 6 ZF Total Sq. Ft. ±''y v Valuation
(Frame,c ncrete,brick{etc.)
Rooms Baths oC Basement Foundation Const. Chimney _Fireplace
(Full, part, none) (Kind) (Number)
Heat. System 0—�,_`' Type of Roofing, Ext. Finish _Int. Wall Finish
-
Use of Bldg. J c. orfi• —7,..-.97 _—_ No. of Units Bedrooms --3
Garage or Carport Attached Private i)etetched
q` 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.
O
REQUIRED
'�
""7
a��; W �ir16,'-.7 Plumbing Permit
m Heating Permit
V/
ON Sewage Permit
cd V
—I �d —4
n(�.
\' Plans Received
Plans Checked
• Plans Returned
i`� Plans Picked Up
V1
i Plans Mailed
g'41•A )U T H
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. -- / _ -
J
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,� �D/O� NOT WRITE BEL'O�W� THIS LINE
Your street address will be e�o.., 7�/� �/��7J `""a"""."9- -_She zone is .(76--- --<-"--a(--J
Sewage Permit Number Issued l�i�: Permit R -.3, ) Receipt i Issued
Remarks G(J F—-4-—73 -. ,-�--- �- � l
Fonr: 523 lddg. Code
Aug. 25. 2011 8:49AM Spokane Valley Permit Center No. 4073 P. 1
•County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE.SPOKANE,WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT L.,--0
PERMIT
REQUIREMENTS PERMIT FEE:._. LJ
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 OP 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. knilders 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 ..-.. • Li- ��•• r Address 6:I: -- -+_. Phone #g 9 cP 7��-
Architect. Phone Rngineer Phone
Contractor Address Phone
Leg:1 Description of Pro,erty (Give complete descriptio. deed, tax receipt, etc.) 'a a...4-3 a psi'a D ta -- 4 ' / �_� / I' f_/
. DESCRIPTION OF WORK:New i"_Addition Remodel_ Moving Bldg.Zone L Fire Zone —
Size of Lot 5' .X /17`0 _ Sewage System
Const Dimensions a.4f oC 6�" S T _Stories
(Frame,c nerete,brick etc.) Total Sq.Ft. / ��✓a Valuations 45;p /1
Room Baths a Basement Foundation Const. Chimney -Fireplace
(Full,part,none) (Kind) (Number)
Heat.System Type of Roofing, Ext Finish Int_Wall Finish
Use of Bldg.�-� nU,Gn e y -_9/ NO-of Units Bedrooms s
Carage or Carport Attached Private Datatched
`/ 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.
i-f i =75500 1 NORTH Stnte License No. •
n Ind. Inc. Acct. No.
sw ANNING DEPT. A 'PROVED
}
�iN7 /W 1`idg 7 BY. `" _i I , Al lambing Permit
�� Treating Permit
In It
w _ \)/ N Sewage Permit
i. ,2 DATE' /D 20/I Plazas Received
)� Plans Checked
• G
Plans Returned
sT
(�}y�� Plans Picked Up
(�i 9 �t -g • Plans Mailed
{
y3,G [. /71:- Pk. SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
i / � sYour street address will be .. .e_ . ....,/ .e zone is
Sewage Penult Number Issued Buil i Permit k<.R�3, ieceipt/,Issued
Remarks GUh"--_a--"7., "/ ✓
Form 523 Bldg.Code