1972, 02-14 Permit App: J1858 Residence County of Spokane® s /n ton
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ji6)
o o
GENERAL REQUIREMENTS PERMIT FEE all
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or stru ure of any
kind or alter any building or structure already erected, or to change a land use. Construction must co orm 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.
RESTRICTIV? COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are e2forceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner . . ' E . - •ddressE 9616 Montgomery Phone Wa4-7950
Architect Groesheek Phone EngineerT-- ___ - -- Phone
Contractor Gunning Builders Address Same Phone same
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
See attached _
d3/68
DESCRIPTION OF WORK:Newt Addition Remodel Moving Bldg.Zone 1 Fire Zone—3--
Size of Lot 68xI2R
Sewage System Sept] l_ Stories 11/2
Const. fvame Dimensions 7.4x38 Total Sq. Ft. 1368 Valuation _
(Frame,concrete,brick,etc.)
Rooms_—Baths A—Basement f ul 1 Foundation Const. cone. __Chimney n0 Fireplace n0
(Full, part, none) (Kind) (Number)
Heat. System gas Type of Roofing comp Ext. Finish t-111 Int. Wall Finish drywall
Use of Bldg. reSi denee
No. of Units 1 Bedrooms 2_
Garage or Carport Attached n0 �_ Private Detatched no
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.
NORTH
LSLicense No.
ns. Acct. No.
See attached
REQUIRED
Plumbing Permit
on Heating Permit (tel vtA-1
Ytto
Sewage Permit-n
_ 7 v&
Plans Received
•
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ertify ,information submitted is correct and there are no other structures located on this property except
a= 2'
shown. - e;V/1.-67sr-e',
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LIME:
Your street address will be 1 a Z ! _ „ , . . 'se zone is A - sub.
Sewage Permit Number Issued Building Permit 1 Receipt�(C Issued r/ -7
Remarks
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Property Survey *ad Natal Deeeriptiee
The South 24 feet of Lnt 5 nook t Valley Vista lnbtivis iaa lzorpt the .*,
last 5) feet thereat. ^� L Dict,
The nth 44 feet of Lot 6 Block 2 Palley Vista Subiirisioa lxoept the r'13 SI 105`x!,eo{ w'�H, 4,,
last ') feet thereof. y a + % .4.
2 r y
The forth 44 feet of the last 13 feet of Lot 11 Black 2 Palley Vista a, o ..
414 tr
Subd iris ioa. Z !
• 1036;0 o •
�J4 FQ/STE�tiS'
The South feet of the last 13 feet of Let 12 Palley Vista 31irisiea. v44l IANOS
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7 Pecs . . ... - - ' '- .-- .. . BeNs%c_ ?(,.1 X 4*.600 - .21-- ' -. ,, _, d- `11.0- 4644,ic j.
ilr. Tei Casing N • a t, „° 403.7'9 L DICKINSON
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