1973, 10-09 Permit App: K3050 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /OQ�
GENERAL REQUIREMENTS PERMIT FEE 4
/
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.
l APPLICANT FILL IN BELOW THIS LINE D G+ s-,,r�
Name of Owner 19111/4, -Ge fp ./c-� Address ,-1/7 /-moo /(� / 9' 6Phone
Phone
Phone
Architect Phone
Contractor
Leg.1 Des
ion of Proper
Engineer
Address
(Give compl-te d:scription from
6
, etc.)
DESCRIPTION! OF WORK: New ` -- Addition Remodel
Size of Lot /C/ 5X 30 ,v,P X 7C/
Const. Fr' AAA, e Dimensions C r2X ate -+ 90c /9
(Frame, cUqn�crete, brick, etc.) �J - n
Rooms " / Baths Basement c . %h Foundation Const 1 4-.-r.L
1�-- (Full, part, none)
Heat. System -- 613 //�� Type of Roofing ,,,e Ext Finish l 1 — t
Use of Bldg. Res?dir'A)C P/
Garage or Carport Attached 'tDe-r^-L' i ° a Ate;
/ml
Moving Bldg. Zone / Fire Zone T
q
Sewage System .fie 7/ L Stories / j4
Total Sq Ft ! / V� Valuation O dZ
Chimney ""kw—n?
(Kind) n/� (Numbe ).
No. of Units / Bedrooms
Int. Wall Finish la
PLOT PLAN
•
Private Detetched
F
4�0
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
qI
y
ay•
7`/
SOUTH
I hereby certify information submitted is co
as shown.
ct an. there are no
Owner or Agent V Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
0
/l
e
State License No.
-2 s —4,///1 — ?Q&3
Ind. Ins. Acct. No.
REQUIRED
ASL
Plumbing Permit
Heating Permit !i l/
Sewage Permit '— //
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on t
is property except
DO NOT WRITE BELOW THIS LINE
Your street address will be �,��ff
Sewage Permit Number Issued Building Permit e /fSU Recelptgrit(
/ ET 6k -De t) -r
e zone is
Remarks 6 -it
sued
Form 523 Bldg. Code
SGAr6.' t" /00"
If 4"
BLOCK - HILT,CREST ACRES SECONDtDITION:
Lot 3 except the southeasterly 20 feet thereof..
"B" The southeasterly 20 feet of Lot 3; together with Dot-4except theft;
southeasterly 40 feet thereof.
"C" The southeasterly 40 feet of Lot 4; together with the -northwester
40 feet of Lot 5.
"D" Lot 5 except the northwesterly 40 feet thereof; togetherwlth:the
northwesterly 20 feet of Lot 6.
"E" Lot 6 except the northwesterly. 20 feet thereof.
"P" Lot 7 except the southeasterly 20 feet thereof.
"0" The southeasterly 20 feet of Lot 7; together with Lot
southeasterly 40 feet thereof.
"1i" The southeasterly 40 feet of Lot 8; together with the
40 feet of Lot 9.
Lot 9 except the northwesterly 40 feet thereo,f;,:together
northwesterly 20 feet of Lot 10.
"3" Lot 10 except the northwesterly 20 feet thereof.
"K" That part of Lot 11 lying northwesterly of a line drawn;from.a
point 20 feet northwesterly of the most southerly torner,,to a poin
23.62 feet northwesterly of the moat easterly corner.. -
"L" That part of Lot 11 lying southeasterly,of aline drawn Prom a
point 20 feet northwesterly of the most southerly corner -to a point..-
23,62-feet
oint-23.62 feet northwesterly of the most easterly cornerand that part,,'
of `Lot 12 lying northwesterly of a line drawn from's point 40 feet-:;
northwesterly of the most southerly corner to.a point•47.31.feet.,•'S
northwesterly of the most easterly corner. _
That part of Lot 12.lying southeasterly of line drawn from a point;
40 feet northwesterly of the most. southerly corner to' a -point 47.31:7
feet northwesterly of the most easterly corner;.and that:part of `•:i
tot 13 lying northwesterly of a line drawn Prone point'60,feet
northweat.erly of_the most southerly corner to:a:point:7l,feet
northwesterly of the most easterly corner.
That part of Lot -13' lying southeasterly of` -a line -drawn,from a point _
:'60 feet northwesterly of the most southerly corner to a -'point 711.feet
northwesterly of the moat • eaeterr3y - eorner; and that art: of Lot ;14;
lying northwesterly of :;. dittallteansattligreelninr494111.93k.
easterly of -the most westerly.dorner to a point.'.10TTfeet,southeaster:
ofLtheamost northerly corner.
' "cj" ' }rt part of ?got 14 -lying southeasterly of a lrom
ine drawn'f'a>poin
20 feet southeasterly of,.the most wecterly corner to a' point.'10`•fee,
• soJUtheatYcr1y.; e the 320: northerly .corset. , „"•�., •-, _ `•>:�;�,Y•