1971, 04-27 Permit App: I4163 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI 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 mast 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 nn 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 �r 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
Architect Phone
Contractor
ddress f/ c-
9 .2
one��
2 ega},D�scription roperty Give complete description from deed, tax rece'pt, etc.) °
3
�d 2 /4 � . ' Al 5-1 from ; , -' 32. (
Yngineer hone
Address Phone
DESCRIPTION OF WORK: New k
Size o of
Addition Remodel Moving Bld . Zone — Fire Zone -3
�1 �C Sewage System f-�� Stories
Const. -, Dimensions 9- 7 /X 3 Total Sq. Ft L/ '2- Valuation � �%' /40
(Frame, concrete, bric15, etc.)
Rooms Baths / Basemen - oundation Const C 1. Chimney Firep . ce /
(Full, part, none) (Kind) 0 (Number)
Heat. Syste Toe of Roofing Ext. Finish 7:7— // Int. Wall Finish 4fr- �_ -'ft
Use of Bldg. / - - ce4..,+ -, -r.< . No. of Units Be.. (ms 3
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.
m
vs
NORTH
I hereby cert' y in or
as shown.
Owner or Agent
S tatee Lic.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
submitted is correct and there are no other structures located on this pr erty except
Date /
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCT! N COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be • ��
Sewage Permit Number Issued
Remarks
e zone is 627
g Permit /0 Receipt Issued
Form 523 Bldg. Code
V
Scake 1 "=20i
fit, e 31 t910
2 o'
•
30'
9f 3
Way r,R SE1rVKr_'_
's
v
c0
95.3
3'
_t ''t. ...DR AWAY ;
3.i
95.3
o S ' 0;? 4(11 F/E &b
128'
Property Survey and Legal Description
The West 133 feet of the North feet of Lot 12 Block 2 Valley Vista
Subdivision Except The West 5 feet thereof.
The West 133 feet of the South 32 feet of Lot 13 Block 2 Valley Vista
Subdivision Except the West 5 feet thereof.
For
k :r. Ted. Gunning
a,.SIC I A.NC13 700_ /
N. 1820 Balfour Rd.
JOSEPH L. DICKINSON
PROFESSIONAL SAND SURVEYOR
E. 9316 MONTGOMERY
spoas►e, Wash; 99206