1974, 09-03 Permit App: K5698 Trailer a •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 i4 ��
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i'~
GENERAL REQUIREMENTS
PERMIT FEE
kindlTEQtland
s t rs required yuc Resolution
erect
g or re of the
inoralter any building or strucurealeadyerected, or tohangea land use. Constructionmust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER.
surface, shoulders be
County Roads, permission and State ealth must bepartments.obtained fromre theork on Countyater Engineer'stOfficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos, 45-133 and 47.235.
leastSET-BACK 25' is required, LINES. In most
side zones and
side yarrdrfrom acflankingnces, a street,sandback 25' rearhyardfront
areproperty
requiredline, of at
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 e
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.
which iarevenforce enforceable Builders
kCountysions Officials covenants
not bring dedications
toand
enforceeasements
covenantslng or dedwith
cations.
APPLICANT FILL IN BELOW THIS LINE ity
4y ,,,a,,��t1e_ ei qL'/&
1 O ti r; vI �.f.-(f.( , !i Phone
Name of Owner . .1- -.4/� ,.<.ii Lt4 ii- Address L
Address Phone
Architect Phone
Engineer Address
Contractor �/
,(,/a'," ,•, Address 1� Phone
---
Legal Description of Property (Give complete description from deed, tax receipt, etc.) -�1-�!,L��� /4(..:T5'- - i J i1!
i )i-cr - Li 1 '''// �
Addition Remodel Moving _ Bldg. Zone I Fire Zone --3_
DESCRIPTION OF WORK: New }4 1 onst.• .-Lt : 1'l 144,i/bie
Sewage System (Fr., Conc., Br., etc.1e
Size of Lot .J �'
`- —li �.2i�u
:.7 �'v° ,Total �Sq. FL' �� Valuation '
Stories _Dimensions
Rooms Baths 0 Basement__.1y", Foundation Const. (';} ,, ,' , '1jiltLi. .Chimney Fireplace(Number
• (Full, part, none f�=� (Kind)
q `? Ext. Finish } (ct'L'"-f Int. Wall Finish '•r�Lt i
_ Heat. System ? f'i_ + Typefol Roofing --
Use of Bldg. �'1'(A7` t � �✓�"r14 Q. Jl � 1�'.CL ey4/E`er-' No. of Units_Bedrooms
`1,�� PLOT PLAN
\ Draw ske gs; )mdistanc showing: (t) propelinesrty andlines; (2)streets; (5)reet or road dimensions of buildings;ns; (3)(6)ilocationn of ofesewageg and
proposed buildings; (4) distance to property 1
sys-
tem and water supply lines. State License No.
NORTH
IInd. Ins. Acct. No.
/
J t.4
.\
tGp�" � REQUIRED
Plumbing Permit
m•. ,
' Heating Permit
4
III; Sewage Permit
to
Plans Received
1 Plans Checked
c1 Plans Returned
Q Plans Picked Up
v Plans Mailed
SOUTH
I hereby certify informs "on s mitted is correct and there are no other structures located on this property except
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 /�
Your street address will be e. / 7 A 6 rf C`..a-a-r..t,_,� h9,,j__r 1 _ The zone is�t,� ��' �(
Sewage Permit Number Issued Building Permitb cc,OF 4r Receipt 1d Z D Issued 9 �V
Remarks
Form 523 Bldg. Code