1972, 04-17 Permit App: J2839 Residence•
• •
e
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FORPERMIT d°
GENERAL REQUIREMENTS PERMIT
FEE
PPRMIIT 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 mast 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' rs-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 IFI BELOW THIS LINE
ddress , ' Phone /1.4A11 -D%/7/
Name of Owner
• i R • i1
Architect
Contractor Ae erns t. , tn� ,
Legal Description of Property (Give complete
Phone Engineer Phone
Address Phone /L//41/-0911
Rix, z
,
I
description from deed,
ice-- _-- -
tax
receipt,
etc.)
Fire Zone
DESCRIPTION OF WORK: NewMoving /
Addition.Remodel Bldg. Zone
Sewage System SH IP. /,‘P0/41 Stories
Total Sq. Ft. /a to Valuation .7t DOd. DD
Size of Lot 8;0, x /.3 / '
Const e ie AM e, Dimensions d y/' A i/!J / /5/'X .ao
(Frame, concrete, brick, etc.) / Fireplace
Rooms 6 Baths _ / Basement I1L 1/ Foundation Const &eh c- Re_TPS Chimney
j / (Full, part, nrib e) d (Kind) (Number)
Heat. System e/eGT6i Tye of Roofing C Ext Finish LIJDT) Int. Wall Finish �4 b4
Use of Bldg. S No. of Units / Bedrooms __/__tl�
Re I ter..- /
Garage or Carport Attached -4 71/Ac A a/4/?hie,
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.
Private Detatched
m
Ln
-4
NORTH
/3/ '
('
/3/ '
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
tn Heating Permit
Sewage Permit
f
' Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certiY informatio .submitted is correct and there are no other structures located on this property except
as shown. (A)
/2/7.2 -J
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 WR
W THIS LIME
Your street address will b
Sew3ge �Tmit Number Ism ed Building Per
Remarks
e zone is
Receipt 94...14t_
ssued
11. West
South _._
East
North
r
80'
-------------
Lot 4, Block 2, Patricia Subdivision
Tract 71, Vera
LO
M - c CO ; CO
+.5
N
_12'
25'
o
12'
900 g a l .
o;
54'
Basic 960
St. Gable
Floor Level +14
40'
142"porch
c a42"wal
L
80'
well
,42"pad +.5
15'
garage_
N
N
-0-
St. Charles Street
(gravel street)
$19,000.00
960 sq. ft. Rancher
3 Bedrooms
1 Bath
14'x22' attached gara
No fireplace
Center of Street -0-
Level Lot
Curbing