1972, 06-26 Permit App: J3582 Residence• i
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PPAMIT 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. Pater 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, s 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 1s 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
00
Name of Owner 1-' V, EP s Tip /) /A'1 Address /t ..C'S/S P«�') 43,a Phone
Arehite4th C e 4/ Phone Engineer • Phone
Contractor EpS r*P Q/K 8 0 a sr Address. 4' r,S- ,rL C fret /N 6' Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
P# 7 zs0 Z
PA -1
v6, oo
DESCRIPTION OF WORK: New v Addition Remodel
Size of Lot to Y 9¢ 27i AAAcv�rr
Const. rj'4f9FDimensionten..*'i"'/1 j(i�.y
.5-- Baths
(Frame, concrete,/brick, etc.) // /�
Rooms Baths / Basement PVL2 'oundation const.CV Me/PE-Tr
�t (Full, part, none) ,^w NN J
Heat. Sysledt Q F ype of Roofing W M P Ext. Finish:iib t11.1:
Moving Bldg. Zone
Sewage System VEP ri C
Total Sq Ft 999 Valuation /S 00. 0
Clef lair _ _
Chimney 'replace
(Kind)��11 (Number)
Int. Wall Finish it t#,4, t
Bedrooms .¶
/7.1-4/3
Fire Zo7ii�(jb'
Stories —./—
Use of Bldg. Es
Garage or Carport Attached rj)Y 6
No. of Units
Private Detatched 4/0
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
I hereby c -rt if
as shown.
nformat
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A
State License No.
13 —6/ --4/690
Ind. Ins. Acct. No.
zr3vs-
REQUIRED
▪ Plumbing Permit
m% Heating Permit
• Sewage Permit
•3
• Plans Received
J Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ted is correct and there are no other structures located on this property except ,
— –'7a
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIOWECOM'MENCES.
THIS j IPT`A��P(yERMIT.
Your street address will be 1
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building P
e zone is
Receipt)/3,b Issued
Form 523 Bldg. Code
Sketch showing survey of the .iouth 80.00 fe^t of the .iaot 94.76 feet of the North
216.00 feet of TRACT 100 OPPORRTUNITY in the County of Spokane and the State of 'Washinf-ton.
I �
L1
Land -&lark Surveyors
Liberty Lakelja-ihinr;ton
AL 5-6159
6-17-72
£ E'6/4,U 14',4 s/ AVE.
/Vor_r.. L.ror 7rae /06}
40
n10 1": 30
1—I "72
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