1972, 03-20 Permit App: J2228 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
dii
GENERAL REQUIREMENTS PERMIT FEE 1
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 onwater 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
Legal Descript
on of Property (G
ddress ;/ - - ai a Jai -Phone /5 -le / l'Yy---
ngineer Phone
Address Phone
�Co'mpl to de crrption fir deed, tax receipt,etc.) /44
7 `ieViGxa Grey
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DE''CRIPTION O WORK✓\:: New *� dd'do%\J Remodel Moving Bldg. Zone Fire Zone
Size of �/�/ X Sewage System
/ �-i Stone• fret."'
C st. i�'1''�- Dimensions r yi.p "/ �� Total Sq Ft ir�r "� Valuatio
,gyp d0
f(J -,6 'reelect -1 7 f
(Frame, co5crete, brick etc.)
Rooms f!� Baths Basement Foundation Const
(Full, part, none)
Type of Roofing
tr 7 Gj2
Heat. System
Use of Bldg.
-i
or Carport Attached
Ext Finish
Chimney
(Kind) (Numbey)
Int. Wall Finish 4' j!%a
No. of Units Bedrooms T
Priv:de Detalched
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.
rn
N
NORTH
I. herebj€EJtify
as shown.
SOUTH
nform»tion ,suu mit .fs ?rrect
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit rn'��%
H
Heating Permit
• Sewage Permit p'741 l//'G✓i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r
located on this property except
and there are no other structures
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOR
THIS IS NOT A PERMIT. _
v
9v0).72 -
Date
E CONSTRUCTION COMMENCES.
-11/L DO NOT WRITE The
THIS LINE '5\-2-6/e
G G 3 V v'he zone is
Your street address will be
Sewage Permit Number Issued Buildingermit Receipts Issued
Remarks
iIA4w4o tn.L,.lttne Q-vt, 111.1fa,J�
Form1523 Bldg. Code
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SPO. CO. k LT!H ` .,
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BUY A " FAMILY HOME "
DARRELL G. CONDRON, BUILDER
Box 7827
SPOKANE, WASHINGTON 99208
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CERTIFICATE'
t° I certify that I have' surveyed and staked Lot 17 except
the -south 3 feet thereof; Lot 18 and the south 5 feet' of•Lot
170n Block 7 of Skyview Acres Addition in the County of
Spokane, Washington, as shown hereon.
P
Cni'
V. ENE CAMERON •
Professional Land• Surveyor
Mn Darrell,Condron
P, 0 Box 7827
Spokane, Washington
March 4, 1972
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