1972, 07-27 Permit App: J3901 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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 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 arid 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
hvl'ew 'res, .enc-, Address kt'a Box Sas Post- bone 7.73-64
Q Larsen Phone 53l- 734,EngineerLanc1m4FK SuhVey eirs Phone a55- e159
Contractor S a mE Address
Legal Description of Property (Give complete descript
of the. 1.f of calf i rton;ty ,u' per icii- Th9reof reeowi .
Phone �) f
ion from deed, tax receipt, etc. ;The S, 110' of FLe y , huli-
• ..
jf1
Mime le of flail a'e �0, tY f the S.aS'thereof j S9nit ne County C/1/is
0--)-1-0.-Q, 44
DESCRIPTION OF WORK: New i Addition Remodel
Size of Lot 21.1
61.1 X 115"
Const. }=Yet me Dimensions -V )( 41' S "
(Frame, concrete, brick, etc.)
Rooms—.5_ Baths t/ 1 Basement es Foundation Const
CT7��
- ,S/j' Type of Roofing
1�1A=eil.hC
Moving Bldg. Zone , 1 Fire Zone �—
Sewage System S ept 1 C Stories _1
/9.3 X,41 Valuation ..i0, 5100.0c)Chimneymusbi, ry Fireplace 1
(Kind) (Number)
Int. Wall Finish phi in 11
No. of Units Bedrooms 3Private Detal)etatched
Heat. System
Use of Bldg. /�
Garage or Carport Attached Ooub4e Ga Q e -
\-5, •
� PLOT PLAN
(Full, part, n ne)
Comp,
Total Sq Ft
Ext Finish COMP.
r O'xta'
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.
NORTH
SOUTH
State License No.
9/1
Ind. Ins. Acct. No.
a 72/ isc9 4
REQUIRED
Plumbing Permit finer -so n
i I
Heating Permit `/,A 1' sI.
Sewage Permit YYNS`t Vet. 116 y LEX
Plans Received -
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby-cer ify informat iolubmitted is correct and there are no other structures located on +this property except
as shown 1� F if
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /7 ; /, ()OS • inn fa l C1 b
Sewage Permit Number Issued Building Permit
Remarks
e zone is
a
S"b bit,
Receipt gf L -J Issued
• h
Form 523 Bldg. Code
Sketch showing survey of the South 170.00 feet of the W& of Wj cE Tract.
46 Opportunity in the County of Spokane and State of Washington. (Except the
South 25.00 feet thereof)
Land -Mark Surveyors
Liberty Lake Washington.
AL5-6159
6-13-72
1
A�7
IN WCor.
IN Z4S 22
1 " 50'
�.a_4 Lrev- Pin - _ .0