1972, 05-30 Permit App: J3173 Residencer •
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 must 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' 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 Blaine A. Johnston Address East 12604 SpraguePhone 928-5700
Architect Phone Engineer Phone
Contractor SM meAddress pp Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)69I1 7 O F 1/5- VV- a G ZV
The West 135' of the South 75' of the North 400' of trk. 212 of Opportunity
DESCRIPTION OF WORK: New Addition Remodel
Size of Ldt 75 X 135
Const frame Dimensions 40 X 26
Moving Bldg. Zone 1 Fire Zone 3
Sewage System septic
Total Sq. Ft. 1040 Valuation 19 000. 00
(Frame, concrete, brick, etc.)
Rooms 5 Baths 1 Basement fullFoundation Const
(Full, part, none)
Heat. System A. Ga s Type of Roofing romp.
Stories 1
CO11C.Chimney brick Fireplace 1
(Kind) (Number)
Ext Finishjp snni tP Int. Wall Finish ahePt rnck
Use of Bldg. single family residence
Garage or Carport Attached none
No. of Units 1 Bedrooms 2
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.
to
NORTH
_LittS
I hereby ,ertify in
as shown. /)✓) -
ma
SOUTH
ion submitted
is correct and there
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State License No.
223-01—b253
Ind. Ins. Acct. No.
91-0689895
REQUI •D
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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are no other structures located on this property except
or Agent Date
A' LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
14%C, DO NOT WRITE BELOW THIS LINE
Your street address will be . 1 Zi. sir-- — ' 1 03 The zone is
Sewage Permit Number Issued Building Perm $ Receipt Issued
Remarks
Form 523 Bldg. Code
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