1972, 10-03 Permit App: J4625 ResidenceGorr
County of Spokane, Washington
BUILDING CODES DEPARTMENT,COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, ¢f 3S \
REQUIREMENTS PERMIT FEE
GENERAL
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
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.
• 4 ^ APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect Phone
Contractor
(Give complete descr'ption fr
Legal Description of Property
Address
ung ineer
Address
G. //A 4 r £N otwt ra4 Phone , $ L— Ci— f
v U Phone t� If
Phone •••••••
m deed, tax receipt, ;t
DESCRIPTION OF WORK: New '
Size of Lot Po )C 1 7r
Const. ' •,.-D Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths
Heat. System
Use of Bldg.
Addition
-Basement
part, none)
pe of Roofing
p1
Garage or Carport Attached
a7s"5'3 --- /.5-o-/ 3
Remodel Moving Bldg. Zone' /.,�.�Fire Zone
Sewage System owl" jjyq,t a ' s J
) 6 -4;)-2k I-1/ Total Sq Ft / 7 d 0 -°'aluatior � Qzl 0 00
Foundation Const.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Ex[ Finish
a
Chimney
(Kind)
Int. Wall Finish
Fi eplace
(Numbe
No. of Units Be rooms
P rtvate Dehtehed
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-
GyrNait' so+rtH 421V'
State Lido.
. Ind. Ins. Acct. No.
REQUIR D
. .I -
14
di/
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned -
Plans Picked Up
Plans Mailed
I hereby ertify/Aknfor tion submitte 'ssccgpl'ecctt� and there are no other structures located on this property except
as shown. C� C'' ^ 3 ` 7 2_____Owner or A eat _ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
ant, kit DO NOT WRITE BELOW THIS LINE
Your street address will 3 /1/
Sewage Permit Number Issued Building Permit 2 44,2 r Receipt
e zone 1s
%_�ssued
sr •
Remarks
Form 523 Bldg. Code
'00 '
BLOCK 10 – HILLCREST ACRES SECONDADDITION 1
,t 3 e.:copt• the southeasterly 20 feet thereof.
le southeasterly 20 feet of Lot 3; together With Lot -4 except the
)utheastoriy 40 feet thereof.
:10 southeasterly 40 feet of Lot 4; together. with the northwesterly
) feet of Lot 5.
)t 5 except the northwesterly 40feet.thereof; together with the
hrt westerly 20 feet of Lot 6.
ft 6 except the northwesterly 20 feet thereof.
pt17 except the southeasterly 20 feat thereof.
le•southeasterly 20 feet of Lot 7; together. with Lot 8 except the
)utheasterly 40 feet thereof.
20 ucutaeasterlt 40 feet of Lot 8; together with the northwesterly
) feet of Lot 9.
-.t 9 exceptthe northwesterly 40 feet thereof; together with the
)rthwesterly 20 feet of Lot 10.
pt 10 except the northwesterly 20 feet thereof.
^at part of Lot 11 lying northwesterly of a lino drawn from a •
pin":.`, 20 feet northwesterly of the most southerly corner to' n point
3.62 feet northwesterly of the most easterly corner.
hat Hart of Lot 11 lying southeasterly of a line drawn from a.
oint 20 feet northwesterly of the most southerly -corner to a point
3.62 feet northestor)7 of the most easterlycorner; and that part
f Lot 12 yi s ncrtwester1y of a line drawn from a point 40 feet
orthwesterly of the most.sout criy corner to -a point 47.31 feet
orthwesterly of the most easterly corner.
hat part of Lot 12 lying southeaster]- of line do;m from a point
3 feet .rtrae ter_: of the most southerly corner to a Doiit 47.31
,set northwesterly o; the most easterly torr=:'r; and that cart of
ot point
•fromfeet
feet13•'�"; northwesterly of F. lino drawn a 60
orthwesterly of the mosi; southerly corner to a point -71 feet
orthwesterly of the most easterly corner.
hat part of Let 13 Eying southeasterly of a line drawn from a point
O foot northwesterly of th.' most southerly corner to a -point 71 feet
orthwesterly of the most e::to i.V corner;. and that port of Lot it
„es _ ^,.o ::_._.�..' �•:' A,.gar i" ..�� .:fe ct
Alii? nor?_. .. ]f..^_�. ' _ :i .' .: �'":'s .. yi'.- r�_..:.0 J .. r �•, •. - ,
•^stel^l,y of she most westerly corner to a point 10 feet coutheasteri;l,
f the..nos b northerly con r.
lying sout•;:e;,ri7 of a line dra y. from a point
O foot louthoacti.zly' of tlie most ere: tcrly corner to a point. 10 feet
outheaste”ly. of the most nort;23'°x% tuner.
TN
Ave:
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5C44.16.: i = /U..% •
BLOCK 10 I
"A" Lot 3 except the southeasterly 20 fei,
'"B" The southeasterly 20 feet of Lot 3;
soutk:casterly 40 'feet thereof.
"0" The southeasterly 40 feet of Lot 4;
40 feet cf "Lot 5.
"D" . Lot 5 except the northwesterly 40 "feJ
northwesterly 20 fest of Lot 6.
"E" Lot 6 except the northwesterly 20 fe;1
Lot.7, except the southeastsrl;; 20
"G" The southeasterly 20 feet of Lot 7;
southeasterly 40 feet thereof.
"d". The southeasterly 40 feet of Lot 8;
40 feet of Lot 9.
"I" Lot 9 except the northwesterly 40 f�•;
northwesterly 20 feet of Lot 10.
"J" Lot 10 except the northwesterly 20 f:
"K" That part of Lot 11 lying nort`westt•
,point 20 feet northwesterly of the u
23.62 feet northwesterly of the L..^2'!
"L" That part of Lot 11 lying southe.^ste:
point 2.0 feet northwesterly of he
.23.62 feet northwesterly of the :r..ost
of Lot 12 lyin,E:.; ncrthwestoily of e.
northwesterly of the most southerly
north':vesterly of the most easterly
That part of Lot 12 .1yin4 south:':.:
40 feet northwesterly of the most so
feet northwesterly of the most a
Lot 13 lyinR northwesterly of a line:
northwesterly of the nose so::ther:,-
• northwesterly of the :_ost. car,. ^:._. ~I
• a • "ci" .That part of Lot 13 lying; ,,: t_ze._
tei
? 60 feet northwesterly of `i'::: :imnet s ,,I
northwesterly of oae yor..t'
��Jhost
a,
l^izi_ nor`hwe=-ter. o' .. :._...+._... ..
easterly of the moot west,:..-:
of the i ost norb^'=r ley cor"c^'.
_.t of
20 Moet southeasterly 'of the :r:(
southeasterly. of the .moat aorth.o71.
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