1972, 05-04 Permit App: J2894 Residence)�1
•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
G -_ENE -RAL REQUIREMENTS PERMIT FEE fir%
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.
APPLICANT FILL IN BELOW THIS LINE J '.4 Q 9, 4 &'
Name of Owner _.���. �ddress 4:::;&„1-•4:::;&„1-•79�-.2% Phone -r-OL: %L "--
Architect Phone Engineer Phone
Contractors Address Phone
Legal Descriptionof Property .(Give complet, description from deed, tax receipt, etc.
eas1 G ,� st o f 't'h e Gel ei/ // 15.E 41 o f fd�� _C gid% X97'
V /%ic'/{ /O d'f S1'H'/�2 Rust. "Pak -A. Anis wyf Psree/
DESCRIPTION OF WORK: New Addition • Remodel
Size of Lot e fs- r /x /,?7
Moving Bldg. Zon - /
Sewage System
Const .//.)T•- Dimensions /•0,:0-5°‘
(Frame, <concrete, brick etc.)
Rooms�L Baths J Basement /We Foundation Const
(Full, part, none)
Heat. System Type of Rfing
vry�
/tGll�
Use of Bldg.
Garage or Carport Attached
Total Sq Ft
erntreit
Fire Zone3
qSte'° Stories One--
Valuation /9 pj
Chimneys 1" Fireplace
(Kind) (Number)
Ext. Finish
Int Wall Finish
No. of Units Bedrooms
Private Detalched
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.
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SOUTH
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I hereby C9ftffy information submittecoiiect and there are no other
as shown.
State License No.
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Ind. Ins. Acct. No.
REQUIRED `/
Plumbing Permit S Yl?%/ `+ 9's
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5,,, s �b
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structuresated on this property except
7/117
Owner of Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT APERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LINE
Sewage Permit�Sumbe Issued Building Permit
Remarks )7' /ort- ,�A4.4,LiJ-.Z� i Gam( 2r+ F o'i l`�.P.
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e zone is
ceipt q%SSa Issued
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Form 523 Bldg. Code ^ '
I
CERTIFICATE'
certify that -Ii have surveyed and dtaked
nAn
11Bn
The east 68.50 feet of the west 153.50 feet of the:
south 137 feet of Tract 10 of Santa Rosa Park.
The east. 68.50 feet of the west.222 feet;of thee'.
south 137 feet of Tract 10 of Santa Roaa Park.
The south 137 feet of the west.two=fifths:of_-
Tract.10 of Santa Rosa Park, Except the. west
222 feet thereof,
in the County of Spokane, Washington, as:shown hereon.
Fir. Darrell Condron
P. 0. Box 7827
S-pokane, Washington
April 25, 1972
V. 1GENE CAMERON
Professional Land Surveyor
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