1972, 09-20 Permit App: J4492 Residencefle
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /0l o_
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 and Zoning Ordinance. Construction is subject to inspection.
NATER. 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
S OA -
Name of Owner __R1aine A. .TOhnston Address East 12604 Sprague Phone 928-5700
Architect Phone Engineer Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax r ceipt, etc.) nn
see attached sheet •--
I,: 4' f -: / o Z
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 105i x 1381 Sewage System septic 1 1/2
Stories
Const. framo Dimensions 40x25.1.4-x24+22x24 gar Total Sq. Ft. 2488 Valuation 18,000.00
(Frame, concrete, brick, etc.)
Rooms_______6 Baths 1 3Jsement fullFoundation Const concrete Chimney metal Fireplace 2
(Full, part, none) (Kind) tv
Heat. System FA 01 Type of Roofing comp Ext Finish masonite Int Wall Finish sheLil)
Use of Bldg. electric single family residance No. of Units 1 Bedrooms 2
Garage or Carport Attached double attached Private Detltched
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.
NORTH
mln
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SOUTH
State License No.
223-01-6253
Ind. Ins. Acct. No.
91-0689895
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / lJ
Sewage Permit Number Issued
Remarks
Q
Building Permit_
The zone _
ReceiptQ`, Issued
Form 523 Bldg, Cycle
Parcel C: 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 385.63 feet thereof, described as follows: The West 1/2 of the South 105 feet of
the North 315 feet of said tract.
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BLAINE JOHNSToN C'ISTOM BLDG.
P. 0. BOX 53 DISF.M , WA. 99213
928-5700
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