1972, 05-04 Permit App: J2893 Residenceerr
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County of Spokane, Washington - - -
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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,. GENERAL REQUIREMENTS 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 must con?L'rm-w:th the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
.WA -T .Ec 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 4p
ddress l�Or;{ 7',°.2% Phonef2`�LyY
Phone Engineer Phone
Name of Owner
Architect
Contractor
Lega Descr
Address Phone
ion . Property (live complete description from,deed tax recei,t,
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Addition Remodel Moving Bldg. Zone
DESCRIPTION OF WORK: New
Size of Lot 6-/- X /S7
Const 'hr..— Dimensions ./(✓ Xv d-- /6X 2,/-,I0-1 14- Total Sq. Ft.
(Frame, concrete,.[.t!
�/ brick, etc.)
Rooms Baths / Basement 1 F'rY FoundationnConst
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Sewage System
Heat. System
Use of Bldg.
Fire Zone
Stories
j/ L-.' r�e/
Valuation .0V0
Chimney5 V Fireplace
C'
(Full, part, none) (Kind) '1 (Number)
Type of Roofing Ext Finish WO -74-6k Int. Wall Finish .Vri GUa //
Garage or Carport Attached
No. of Units Bedrooms 7 --
Private Detatched
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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NORTH
SOUTH
I hereby cert ormat io ubmitt-d is c
as shown.
- State License No.
OK
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit $/
Heating Permit /hit/%I
CTom+
Sewage Permit' 4 sill 44,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures located on this property except
A,'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(¢� -4Q- DO NOT WRITE BELOW THIS LINE
Tour street adti ss will be The zone is
Sewage Permit Number Issued Building Permit ��f53 Receiptg3.J R' Issued
Remarks
Jt0-' i4F-- ,t).LI
Form 523 Bldg. Code
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CERTIFICATE
I;certify.that I have surveyed and staked
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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 the
south 137 feet of Tract 10 of Santa Rosa 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, asshown hereon.
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Mr. Darrell Condroin
P; 0. Box 7827
S-pokane, Washington
April 25, 1972..
9
V.. GENE CAFIIERON
Professional. Land Surveyor
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F.N.A, APPROVAL ONLY
SAO. CO. HEALTH DIST.
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