1972, 01-07 Permit App: J1635 Residence4111
0
County of Spokane, Washington
J
l
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTSPERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an./
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-,
perf?rmed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MQMING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highlray, 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 lank-,
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 Engineer
Contractor /1.,,,0,0,4„) Cp4s*stc!)Cienif1-NG. Address / .2 ...r ' Phone Gyl�i�4'-'T7/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) /El el Alb• /nom ' '
3 fee/ to,C YAe. .Cgs -A /-2,..1 Ic,oe) o{' 0I 36 of 77'eh e C Ore Tris exc�y �1e
ddress
Phone a/44 -0w
Phone
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 7?1 )( /.25
Const f>`R 1?)dd Dimensions 410
(Frame, concrete, brick etc.) ��++
Rooms 7 Baths / brick)
Basement fail Foundation Const
`/ (Full, part, none)
Heat. System eke Vt/ Type of Roofing(' Ony0.5i)%i a/7
Use of Bldg. -M 1e/Nii f/i tt �U
Garage or Carport Attached why
Moving Bldg. Zone r Fire Zone
Sewage System tank - Stories / �?
Total Sq. Ft. / 4 O Valuation / S -SD A
Concpej&
Ext Finish
Chimney./1/C' Fireplace Z
/ (Kind) (Number)
ISL
Airg Int. Wa11 Finish 9/" "W
No. of Units Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH o4-(
/✓'
0
4 i
/44.
�.n
SOU TH 1—"V
s I here certify i ormat' n submitted is correct and
as shown. _a/2_,
a 2 , //G
Owner or Ag in
State License No.
Ind. Ins. Acct. No.
REQUIRED
C.) Plumbing Permit
- Heating Permit
�00
.r` Sewage Permit
t-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other
structures located on this property exirept
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
WRITE BELOW THIS LINE
Your street address will be a( .4/7 / 1 re -C_ z- 9 y c IYOr
Sewage Permit Number Issued Building Permit
Remarks
Form 523 Blda. Code
/ The zone is
1635 por?ipt
Parcel ' The Thrth 233 ft. of the East 125 ft. of
Tract 36 of Trentwood Orchards except the North 155 ft.
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COI (,-)1 (v) i C'0�
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10' .lO' |lO'
! '-T
|l000 gal
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4-�- �-___-__- -__--__����
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25/-
Concrete Drive
Basic 1000
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�u- 42"pO�c
42xW0]kU
m
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(C5;
7O'
40'
35'
N. 4711 Evergreen Road
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South
West
-North
East
2|,350.00
1000 sq. ft. Split En
4 Bedrooms
1 1/2 Baths
2 Fireplaces
Job 262
Level Lot
Center of Str�,,A -0-
Paved Road
`_ I • - ' . a. J 1 G�
O
O— 30'
'1"71 46,
34'
N Par ce.1 1' 3
77'
b
N
%-%
467
04*
125'
Parcel
125'
co
Parcel -2
2 5'
M
1,
^� H¢ roy Ave
LEGAL DESCR%PT‘ON
Ptarce.1 "i 1 Th¢ nor+k 23 3 -1 Q&+ o{ the. ea s+ 12.5 fit+ of Traci' 36
of Tre.r\i-wac Orchar-ds Q.Xccp# tint nor+h 155 4 es+.
Parce_I t*2. The ¢as+ Izs f¢e+ of Tra .4 3( of Treni-woocJ Orckarcis
norfk of Hero y Avenue 2xcepf tKt nor+' 233 fee+.
Parcel '` 3 The. w2s+ 77fee+ o -f- the. las+ 202 4Te.&f of Trtoct 36.
Trcntwood C7rchards r or'+:‘ o4 Heroy Avenue-, exctp+
tic (\or+V\ 155 f2¢t,
For Car \ Kap e.n
a
Clare.mc.e. E. Simpson
N. 909 Ar9 onrre. Road
Spokane., Wct.sh,rn-l-oh