1972, 04-17 Permit App: J2840 Residencef •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water smopply-.must be approved by the County and State Health Departments. Where work on water Antennas 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
Phone `//Q� e-12-2-
Name of Owner A -'.i ir. - ddress J35 9' EF . .-S-A!',4,, ace Phone
Architect Phone Engineer Phone_2-2- i�1
Contractor
Ai/WI' G/Gy,S161el�pv .'r1e , Address - A EF, ' ' �" _
Legal De criptf Property (Give comp%te description from�/deed, tax recei� ,
j .4 jl-Wif, ga 6 d,' £,' O p l7� i Lf/ePT/
DESCRIPTION OF WORK: New )4-- Addition Remodel Moving Bldg. Zone
Sewage System Storied
Size of Lot go � x J. I / ` p Valuation ��
Const. F.PAm L Dimensions 4 `1 / a / Total Sq. Ft. p ,I, (�
( Frame, boncrete, brick, etc.) Fireplace —��
Chimney (Number)
Rooms 7 Baths_�Basement Foundation Const. t+hmeAe� e- (Kind)
(Full, part, n nd e) J Int. Wall Finish
Heat. System G Q Type of Roofing ei ' Ext. Finish _____WA p a
No. of Units Bedrooms_
Fire Zone
Use of Bldg. A9e S /' d e4-, C e--
Garage
iGarage or Carport Attached /2114
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. State License No.
in
NORTH
77'
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ------
m Heating Permit _-- --
M• Sewage Permit _---
Plans Received
• Plans Checked -----
Plans Returned -----
UJ Plans Picked Up ----
Plans Mailed __---
I
/3/r SOUTH
I hereby certif 'nformation submitted is correct and there are no other structures located on this property except
as shown. .
_-- - i -- Date
Owner or Agent
A LAND USE OR STRUCTURR PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,. kti e O NOT WRITE ,ELOW THIS LINE
Your street address will he
Sewage Permit Number
Remarks
The zone is
beeeipt,`,'�' 1 Issued
/,
West
-$`
South / North
!
East
-0- --___-_80'
Lot 5, Block 2, Patricia Subdivision
Tract 71, Vera
25' '
Concrete drive
!
} ' 12'
1 00 gal.
_
��
+'5-1 40.__ +.5
-
.
Basic 1000
2/0 Hip
Floor Level +63
4O/
+�
42"porc ' hC
--_ ~ �
42"Wa7k �mi
-0-
�
30'
-'
�}-
+.5
St. Charles Street
/gravel street)
-O-
$2l,350.O0
1000 sq. ft. Split Entr
4 Bedrooms
1 1/2 Baths
2 Fireplaces
Center of Street -0-
Level Lot
Curbing
°