1972, 09-22 Permit App: J4494 ResidenceO
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County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
! APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE i`
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.elaViegting Code and Zoning Ordinance. Construction is subject to inspection.
t.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water come disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Of icT.
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.
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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
Name of Owner 3.S er S r,A" MAUL Address /90 Sax /f//�/ - yi2/57 phone a_iAie
Architect - Phone Engineer Phone
Contractor S4in Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
/oT / /at/r 3 ff/LLC.8CST .9cier_c .71:L i9dd—SPOkrims
/oy/LeFL 44 -2 2 r V - 2_3 O /
DESCRIPTION OF WORK: New �� Addition Remodel
Size'of Lot S' K Q - .2 0
Const. FRAMs- Dimensions ,t .2 S/Y(f1.2 C ZV X2 2 -
(Frame, concrete, brick, etc.) dj//e—
Rooms - 7 Baths .2_BasementPOCC-
(Full, part, none)
Heat. System A:A. r'.is Type of Roofing Com p
Use of Bldg. f NS/Lt FAX" E
Moving Bldg. Zone —/ Fire Zone 3
Sewage System SEc✓ G-2_ Stories SFz. T ,Wry -
Total Sq Ft. JJ) .2 8 Valuation
Foundation Const
•
COAIC2 re
Ext. Finish %/—//
Chimney /%• /3 . Fireplace 1
(Kind) (Number)
Int. Wall Finish w49>CcA d9d4) -
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.
No of Units Bedrooms ie
Private Detatched -2 V)( 2. 2 -
NORTH
SOUTH
I hereby certify information submitted ' correct and there are no
as shown.
ne or Agent c
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
State License No.
.2Z3 -o'- //bt/
Ind. Ins. Acct. No.
�6G8-23
s44
Plumbing Pe
Heating Permi
Sewage Permit
Plans Received'
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
.:w
Your street address will
Sewage Permit Number Issued
Remarks
be
DO NOT WRITE BELOW THIS LINE
S.2 7 o s /t74t./1 d v psq
Date
CONSTRUCTION COMMENCES.
• Building Permit
The zone
Receipt y e S 7 j'ued
Forrn 523 Otdg. Code
S. SIT) PAUL COQ?ACTOR
P. 0. BX 14181WA6-7951
SPOKANE, WA. 99214
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