1972, 10-27 Permit App: J4901 Residencer
•
V ED A NOTE V «ounty of Spokane, Washington
Cede
Spokane Count)!Dept
BUILDING COD S DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
Date la 3 / APPLICA ON FOR LAND USE OR STRUCTURE PERMIT f
by r_ = M E N T S 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 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
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.
pAPPLICANT FILL IN BELOW THIS LINE �.1i..ait.a.ciki4- _ 99O/
(4/. J �� ddress # `2 Phone HO #4Y7C. g
Name of Owner
Architect Phone Engineer Phone ,�V
Contractor, ,(,�,,4Z.(, �. Address hoone iy�v
Legal Description of Property (Give comp,le e description from deed, tax receigt; etc.) . Q Sf � "% ik
kC i s ,Q vi- a- N, / &. &,-5" A- e r 1'3 I- if /Z e 1L- 4_2, ,eLei ILA/GMAT—
DESCRIPTION
LA/GM-T–
DESCRIPTION OF WORK: New X Addition
Size ofhot % -2. (c5 X /4 -to ,/
Const ►'ice5 3'S
- Dimensions 'rX `
Remodel
Moving Bldg. Zone / Fire Zone ;1
Sewage System f Stories
Total Sq. Ft. ?.-5-e Valuation /4,54'L)a�
(Frame, concrete, brick, etc.)
Rooms 4/ Baths 1 Basement7l Foundation Const
(Full, part, none)
Heat. System CTL -13n, Typ%� of Roo rng L� YVLyZ.t7
-
,�/ ..�Z L CQ
Use of Bldg. 4,74-(L'�li Lt -1.271.L`
Garage or Carport Attached
Chimney Fireplace —
/1 (Kind )
Ext Finish £a4t a -F oaf Int. Wall Finish
No. of Units Bedrooms
Private Detatched
(Number
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
l �.0
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
ns Heating Permit
NSewage Permit
Plans Received i' -
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb %cert' y infor io ubmitted is correct and there are no other structures located on this property except
a shown. 4 142- (4, ..,._„I /0 - Q7 - 2 v
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
3l;tz`44--1� DO NOT WRITE BELOW THIS LINE
Your street address will be � a'6' /
Sewage Permit Number Issued Building Permit
Remarks
NC
e zone is a'illt-tC,LLt LC -C-
Receipt q 7/fr/Issued
7 11-34 c(
Form 523 Bldg. Code
NOV=ER 23, 1970
ZONIivL ADJUSTOR
r.n. a rn7.:1-e
subject to the felAs coaditions.
ehil ,aevelcd ia a.occra:ao 117ith the "approved" plot
oa filo with tha
of ths vavlanee door; not j;'}:t thf.-xe shall be a reduetion
:,:-12.ire:.lonts for Craia fieldc 'ay tho Couaty Health District.
of R000rd:
N, :Ina5o 45t, E.W.N.
LI:A-4J 2 aud 3 4..,:1,2 .:.-., Llovth 1206r5 fint o Le k
of .i.aoo7,:. 12 of ''.1::::i.dt.liioa to Grsoasi.c-.:cco
L., John. E. Ce:Aloa
Yo:::: 25
7t5V6 :e .2
Aloulti.t, ,::',..LJuly :JOT 19W
:ue a:ciucc.,,tea: To 1:o r;e::: -:',0 477.1n..lot a
:::ty 11.::-.v..:
(.11::i,
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.•.C!TZ. of r.Le.:117..aL; P.:,.o'sa: Ch.....,'' 1:C:., Sotiou 4.(t.00
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