1972, 02-14 Permit App: J1854 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201 g1/9
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE`"
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building ort'ructure 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 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 111 BELOW THIS LINE
AddressEa.St 9616 Montgomery Phone WA4 -7q50
Engineer Phone
Address Same Phone Same
description from deed, tax receipt, etc.) See attached
Name of OwnerGnnni ng Rni 1 dPrs
ArchitectGrne heck Phone
Contractor
Cur1nin
ftgal Descr pt on of
Of-C---f `f
Builders
roperty ( iivee complete
C77/
DESCRIPTION OF WORK: New _.._x.,__. Addition Remodel
Size of Lot Hg 68x128
Const frame Dimensions 24x38
(Frame, concrete, brick, etc.)
Rooms 4 Baths ._Basement full Foundation Const Concrete
(Full, part, none)
Heat. System FA. gas Type of Roofing COMP .
Moving Bldg. Zone Fire Zone 3
Sewage System tories 1I
Total Sq. Ft.1368 aluation$ 1 A 000.00
Use of Bldg. Res3
Garage or Carport Attached
Ext Finish T -111
no
PLOT PLAN
D sketch ith dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
ed-buildin:s; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
d yijter su ply lines.
Chimney none Fireplace none
(Kind) (Number)
Int. Wall Finish Drywall
No. of Units _l____ Bedrooms 2
Private Detatched nn
NORTH
See attached
I hereby
shown.
A: zeAtiLd
SOUTH
r ify 'nfor -tionn ubmitted is correct
and there are no
other
REQUIR
Plumbing Permit
Heating Permit
Sewage Permit 1F
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
c9-)/ /1177
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LIME
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number Issued
Remarks
North 1906 Balfour
Building Perm
e zone is A . sub
Receipt Z-
e-2,
Form 523 Bldg. Code
bo
30'
CON c.ReTG
b
2. e'
2V'
wiTtr t4F-4
3a'
GAL
1�!
F-- - - - - - - YS
1, r?OCi �_ -DMA' F' 4l'
IN-
vs
T
6".
yr•
X04
The West 133 feet
Subdivision txcept the
The West 133 feet
Subdivision incept the
?or:
W. Tel Guatinc
Property Surrey
of the North 20 feet of
hest 5 feet thereof.
of the South 48 tat of
West 5 feet thereof.
Kid Legal Description
Lot 14 Block 2 Valley Vista
Lot 15 Blook 2 Valley Vista
F 4SIc 5
N 1 i O ( 3 At t-ou.e.
3.-01t Sol
JOSEPH L. D!CKINSO
PROrESSI.CNAL LAND SURVErOR