1972, 04-19 Permit App: J2648 Residencer
TO -
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Qom/
GENERAL REQUIREMENTS PERMIT FEE ....1 l
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
cperformed 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.
�,r GAvrGAPPLICANT�FILL IN BELOW THIS LINE
Name of Owner /J ✓_�/ -s �GG A / GO •-2/ e)'�' 'L•• Phone mrai-^.'S-2a0
Architect Phone Eng (/ Phone
Contractor , a—infi Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
That portion of the S 4 Vera according to plat recorded in Volume "0"
of plats, page 30, in Spokane County, WA Except the W. 358.63 ft. thereof described as _ Q
follows: The E. half of the S. 85 feet of the N. 230 feet of said tract.� //.nedA ��a�—
DESCRIPTION OF WORK: New 5 Addition Remodel Moving Bldg. Zone / Fire Zo eze
z �'
Size of eleo) es- x / chi 2 / Sewage,ewSystem i Stories
Const. . 1c2 v,rli Dimensions r24" 7s J4I,p7L1 i'otai Sq. Ft. 2 2 Valuation 011 Sap,
(Frame, cot trete, brtek,/2te. ) `, q ../ 22
Rooms ' O Baths / %r2 Basement y,Q?.r�f Foundation Const 5 .tenets int) Chimney mama Fireplace /
(Full, part, ne) (Kmd) / ((NNuthber)
Heat. System 1�i Ype of Roofing do' rni . Ext Finish hit o. -V.2rt ' Int. Wall Finish �C�./IAn eZ�l
Use of Bldg. .e--r�!yde) ,,,..0„:„.4„..,,, No. of Units Bedrooms
Garage or Carpo rt :Yttached
Address
ineer
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Private Uetatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
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I hereby
as shown.
SOUTH
'rxify information submitted
/ ./6-.tti,l04 —
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
t9m? yfk DO NO WR BELOW THIS LINE a
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is correct and there
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State License No.
ga s --n/- td o o?
Ind. Ins. Acct. No.
42
66 -- qLn
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
�1 Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
2—
Your street address w111 be
Sewage Permit Numb- Issued
Remarks
u
ing Permit'
i
e zone
Receipt
COMMENCES. COMMENCES.
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Foran 523 Bldg. Code
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Parcel $:
That portion of the South 472.5 feet of Tract 193, Vera, according to plat
recorded in Volume "0" of plats, page 30, in Spokane County, Washington,
Except the West 358.63 feet thereof, described as follows:
The East half of the South 85 feet of the North 230 feet of said tract.
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