1977, 02-04 Permit App: L6836 Residence Canty of Spokane, Washgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
EN'ERAL REQUIREMENTS PERMIT FEE 99.-6'1"
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 (79,l4/�
Name of Owner G ?�'-���'J R'/ C,i,'c,%7 Address /V �+ 3 2 3 I-4-0A'1 li"�17 Phone 9 6 ` /w d
Architect Address Phone
Engineer , ` Address Phone
Contractor N or-7 7 Z-E Address Phone
Legal Description of Property (Give complete description fropi deed, tax receipt, etc.) c2 •'5// - `/U
4, O T / :3. ,x. 3 i' 6 c'e
DESCRIPTION OF WORK: New X. Addition Remodel Moving Bldg. Zone / Fire
-- one
Size of Lot /99.3O X QUO Sewage System -547,7/e T-Fonstonc., Br. .)
Stories/Dimensions X�f a c;,2, as c'X/0 Total Sq. Ft.! 6' 6 Valuation 4 'C7•6''
Rooms .5- Baths / Basement 7 SLG Foundation Const. C,drve er62 Chimneys L Fireplace
(Full, part, none) (Kind) // (Number
Heat. System _ Ell Type of Roofing 4 t✓/71 00 Ext. FFiini h / / —/1 Int. Wall Finish" ,'
Use of Bldg. -� r�vr' � ` /GCG.I C' � �'`� No. of Units_Bed ms
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 RESIDENTIA —COMMERCIAL State License No.
/71\*
Ind. Ins. Acct. No.
*/5777
REQUIRED
Plumbing Permit
in Heating Permit
N N Sewage Permit
Plans Received
Plans Checked
'Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby tify •nformation submitted is correct and there are no other structures located on this property except
as shown�,.�� )
n /
7
Owner or Agent Da e
A LA ,\ = • R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS PERMIT.
4 Viz; 7}L J 67 DO NOT WRITE BELOW THIS LINE
Your street address will be /53G 6 , /6/2 -( y The zone is
Sewage Permit Number Issued Building Permit Receipt✓Z Issued
Remarks ✓3
Form 523 Bldg. Code
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LOT 1, BLOCK 3, KRUEGER'S THIRD ADDITION, ACCORDING 11:
TO PLAT RECORDED IN VOLUME 12 OF PLATS, PAGE 4, tZ
I TOGETHER WITH THE FOLLOWING DESCRIBED UNPLATTED1
PROPERTY: THAT PART OF THE NORTHEAST OUARTER OF SECTION
2, TOWNSHIP 25 NORTH, RANGE 44 EAST OFTHE WILLAMETTE NQ
MERIDIAN DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTH- .01r -
WEST CORNER OF LOT 1, BLOCK 3, OF KRUEGER'S THIRD w 'n \)
ADDITION; THENCE SOUTH 89°27 '00" EAST 199.30 FEET; THENCE ��
SOUTH 146.66 FEET ALONG THE WEST LINES OF LOTS 3 AND 4 .��
OF SAID KRUEGERS THIRD ADDITION; THENCE NORTH 89°27 '00" t
IA
WEST 200 FEET; THENCE NORTH ON A LINE PARALLEL WITH THE
WEST LINES OF SAID LOTS 3 AND 4 OF KRUEGER'S THIRD ADDITION `_ <
3 TO THE POINT OF BEGINNING, ALL IN SPOKANE COUNTY, WASHINGTON.
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