1977, 08-23 Permit App: K3754 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
A
/
APPLICATION FOR LAND USE OR STRUCTURE PERMI 4412
GENERAL REQUIREMENTS PERMIT FEE
t 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.
N.
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
Name of Owner r - e Address - .1+♦ • ` . Phone 9:9Le-' -0) J ---
Architect Address _ Phone
Engineer Address Phone
Contractor "°.-.ti- ' Address Phone
Legal DA.es ipti of Property Gi e complet descriglion from deed, tax receipt, etc.) Parc Number y
17. /t1/ C` /st.3-33G c�-lt � �1,,, y [).tom
, _,
.. ., ,
/0,r�' cif o? s Y , -• 0.` / 7
DESCRIPTION OF WORK: New V Addition Remodel Moving Bldg. Zone j Fire Zone
Size of t 143, :-JS . /0/ ' Sewage System, '> le—, Const. 'F'•
Fr., Conc.,. r�./ etc.)�`
Storied Dimensio sJ/i role_ = Aa' /)t�ci..St . 3i', .2f Total Sq. Ft.47+ 7 Valuation 79'rq, `"
Rooms .Baths Basement 4-11 Foundation Const. Cd C r'a-t e- Chimnejel 'f rftireplace /
Fu 1, part, none) �f _ (Kind) (Number
Heat. System • a. _p_ . Type of Roofing /k fha..1 & Ext. Finish / /'- // Int. Wall Finish V rY L04,--1/
Use of Bldg, tl� ii:'' 'jtc -,F.. �✓ Ct. t✓Ct- c r„,..„9„.„ No. of Units Bedrooms °��f
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.
--67.6 '/�. State License No.
Tvl
4 ,23 -- c/--/s(34q
Ind. Ins. Acct. No.
- ;rESIDENTIAL COMMERCIAL
N. i -S► REQUIRED
Plumbing Permit
/4 ;/ `n+ Heating Permit
a7
to N Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH ,.
I hereby certify informatio subm ted is correct and there are no other structures located on this property except
. as shown. ,..
Owner or ent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6-, -Y q, DO NOT WRITE BELOW THIS LINE
Your street address will b '10 j Q\J jzone is (C-v/ t k /
Sewage Permit Number Issued Building Permi 31 Receipt 6 '(r,(< Issued
Remarks
•
Form 523 Bldg. Code
CERTIFICATE ' '
I certify that I have surveyed and staked the following parcels:
Revised
The east 143.33 feet of the north 304 feet of Tract 215 of VERA. See Below
The west 143.34 feet of the east 286.676 feet of the north 304
feet of Tract 215 of VERA.
The west 143.33 feet of the east 430 feet of the north 304 feet
of Tract 215 of VERA.
V.
,Qt"E E CAMERON
Professional Land Surveyor
D & B Building
Route 7
Spokane 99206
August 10, 1976
Revised: August -2, 1977 Ni: Cq
(...1SOF WAsykh �
The North 101 feet of the Eat W ��� 4),,,,
4.1
143.33 feet of Tract 215 of VERA. z1
--
feet of the east 143.33 feet of �4 781 L31\''
Tract 215 of VERA.
6 - a S '7"(
24TH Avr ui
mg.33' 00.3#' 143.3r'
G
4. 'I e;*-
14
( /43.33' 143.34' 143.33'
TreAc r 2/6 k
k re.ACT 2/5
e QC SCALE : / '' = Zoo
4.
i
— , e-
4,
,r
• R—
.....
I I ...
, e ,
...11 _ ,
1
vv, .
, .„,
i a
,/,,opl
1
, .
, D�--i
I +
- -- - - - --- - - .....: .
-- ``
4
-
0 o
_
..
....
4 O
IS ,CD6N
Az,
•f4 V
9
r 4
A
..
,,r j',�
j
t,..:1
4r. Owtirc 240v1b4A06