1973, 05-29 Permit App: K1827 MHIR 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401 O
APPLICATION FOR LAND USE OR STRUCTURE PERMIT y
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.
NATER. Nater 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.
SETBACK 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 THISLINE�S'Zdl2--
Name of Owne
Address 0� 7 G_ �� —� Phone e `� ' .7(p
Architect 0 Phone Engineer Phone
0
DESCRIPTION OF WORK: New Addition V Remodel Moving Bldg. Zone Fire Zone
Size Lot s Sewage System `AL— Stories
C �� imensions Ze x� �' Total Sq. Ft. U Valuation Z9Tz
=-hi's
amrete, brick, etc.)
' Fireplace
Baths -/—Basement '—Foundation Const. xG�t�G Chimney
(Full, part, none) (Kind) /� (N ber)
Heat. System • Ty a of Roofing 7�p i Ext. Finish %i,� Int. Wall Finish, I
Use of Bldg. Q_ No. of Units Bedrooms '—
Garage 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.
L;- NORTH
J 3 G r-
^ry
N _t1 7
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2�
S� �EXCcOT/o/�
1
-7 45
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to
Pr a s F' ^ T SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit I===
n� Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as sho �
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT A PERMIT.
0� 7ijrl JE) DO NOT WRITE BELOW THIS LINE
street address will be ����y Z 61 �h 7� !/� p The zone is '
Sewage Permit Number _ Tssued Ruildin¢ Permit .1414-) 7
Remarks
Form S23 Bldg. Code
i A4
JAN -26-'88 16:33 ID:HEALTH SPO
TEL NO:509-456-4716
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JAN-2b—'H—b lb: -�n I V - rlr-ML- I F 1 -ter u ---
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-SPOKANE COUNTY HEALTH DISTRICT
E. 0. PLOEGER, M. D., M.P.H., HEALTH OFFICER
N. 819 Jefferson Street
Spokane, Washington 99201
DATE _
Y PERMIT N0. I 7 r
No. A 1243
APPLICATION FOR PERMIT TO INSTALL ORJ RECONSTRUCT SEWACE DISPOSAL FACILITIES
_ I WILT
Name ",I -� Address • % Phone No
'/fi %G —A
Addre65 Of Proposed Slte�/
Type of Use % i l k fs basement for building planned? ---
Number of Bedrooms / Building Capacity _—_ - Camp Capac{ty Other -—
Water Supply ��i {City, Well, sprin }. Drywell __ /C e?
y4 5ePtEt; tank capacity n
Length of disposal field Absorptlon Pits - - Leach Bed
N
(1) Show rdativ0 1"611On Of, Fropoald haus*, Hp1i0 lank,
d1a001
11 f101d, wph 81(616 ■nd othau out buildings.
(Z) Make nota of any hfdvy alORO Of swampy VON or any 71
Other impartanl topographlC dO10116
m
Installer_ /C pct✓C
Final Inspection Qat@
Ramarks: L
CONTRACTOR
F12 M S 4 REV. HEALTH
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.i�na srr
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Spoken;tor 1
JAN -26-188 1b:54 1U:MtHLin Ori - --- -
Pi%vafa.
Prospec-r
Holo rS S AG %Y,
N390 of Tr 1.
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