1972, 05-25 Permit App: J3172 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMITG o
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.
NATER. 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 oOwner Dan T. O'Connell Address East 12604 Sprague Phone 926-5700
Archit t Phone Engineer Phone
Contractor same Address Phone
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Legal hescription of Property (Give complete description from deed, tax receipt, etc.) kvj fz. a t 3- vy— 07 :L67
The west 135 feet of the south 75 feet of the north 475 feet of
tract 212 of Opportunity 4.
DESCRIPTION OF WORK: Newer_ Addition Remodel Moving Bldg. Zone �— Fire Zone
Size of Lot 7.5 x 135 Sewage System septic Stories 1 1/2
Const, frame Dimensions 38'x2x25+38x24 Total Sq. Ft. 1846 Valuation 19, 000,
(Frame, concrete, brick, etc.)
Rooms 6 Baths 1 Basement full Foundation Const, tong• Chimney metal Fireplace no
(Full, part, none) (Kind) (Number)
Heat. System F.A. gas Type of Roofing comp• Ext. Finish masonite Int. Wall Finish sheetrock
Use of Bldg. Single family residance No. of Units —1 Bedrooms 2_
Garage or Carport Attached none 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.
NORTH State License No.
4 223-01-8302
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Ind. Ins. Acct. No.
266-450
REQUIR D
Plumbing Permit
M Heating Permit �j`-%
NSewage Permit
Plans Received
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed
SOUTH
I hereby c rtify informat'on submitted is correct and there are no other strut res located on this property except
as s /1" own. �`7p' S-1-7 Z-
jj Ownpi or Agent f Date
A�LAND USE OR STRUCTUVE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE aBELOW THIS LINE
Your street address will be 1ilsr.� yrs ,'/ I The zone is
Sewage Permit Number Issued Building Pe it Receii Issued
Remarks .1—�
Form 523 Bldg. Code
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