1971, 04-27 Permit App: I4165 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 9--
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
Architect
Contractor,
Le al Descr' ion of Property (Give outlet-
/3 2 • /33
ddress
Engineer
Address
descrip 1. from deed, tax receipt,
r/
O
tc.) /4( /
Phone
Phone
Phone
• DESCRIPTION OF O K: New ¥ Addition Remodel Moving
Bid Zone ! ire Zone
Size of Lot Sewage System ories
Const �' Dimensions ��i Total Sq. Ft "'2-- Valuation 1• g UCH
(Franfe, concrete, brick, /etc.)
Rooms Baths / Baseme . ' Foundation Const. -)•z -e'' Chimney Firepl ce /
(Full, par , none) ) / (Kind) (Number)
Heat. Sys •. / / Type oofing xt Finish 7 �— / Int. Wall Finish .--w.---(9
Use of Bldg. _p °
No. of Units Bedr oms
Private Detatched
U
Garage or Carport Attached
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
N
NORTH
I hereby certify i. or
as shown. i
SOUTH
State Licens o.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit \
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
bmitted is correct and there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST
THIS 1S NOT A PERMIT.
Date
E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO OT WRITE BELOW THIS LINE
Your street address will be • - E - 'e zone)"
Sewage Permit Number Issued Bui •ing Permit ,//63 S Receipts 3`3 Issued
Remarks
Form 523 Bldg. Code
•
■
0
•
95.3
28'
45.3
w,41-E? 5£rY/Ck-
2L/
1
u"4 L
4S•3
3'
___DRtvto y _
35'
C7 41
41 3
r___�______ --
•
l Via' PRAM F1e12
Property Survey and Legal Description
The West 133 feet of the North 28 feet of Lot 13 Block 2 Valley Vista
Subdivision Except the West 5 feet thereof.
The West 133 feet of the South 40 feet of Lot iL Block 2 Valley Vista
Subdivision Except the West 5 feet thereof.
For
4r. Ted Gunning
70 a.,
6ASIC RANCH -_fit -?Q 1 /'
N. 1824 Balfour Rd.
/3'
JOSEPH L. DICKINSON
PROFESSIONAL LAND SURVEYOR
E. 9616 MONTGOMERY
Stlokahe_ Wash: 492114