1972, 10-03 Permit App: J4781 Residence . County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT _.4a
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.
-7 APPLICANT FILL IN BELOW THIS LINE
Name of Owner t. , if, /7 /ke . Address ,/41-z,- v S' (..-7.. SPE"/ ice" Phone/14-7W/
Architect_ Phone EngineerPhone
Contractor T thou 'r 17c ie,nr«r Address 5 e- Phone _
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
- '.2 -S73 —a 0 Olt _
DESCRIPTION OF WORK:New 'C Addition Remodel Moving Bldg.Zone ( Fire Zone- •
Size of Lot_ /FJ'X /I4_ Sewage System ...1- z-,.../4.--n._L- Stories / �.{
I _ cV V
Const. I/oncr7 e, Dimensions �G' K 2 7 Total Sq. Ft. a2 U i.S.- Valuation
(Frame.concrete,brick,etc.) 2
Rooms 7 Baths 2 Basement :S,4-i/ Foundation Const. ( cIX)("et 2— Chimney r// i k�fireplace
F/4
(Full, part, none) (Kind) (Number)
Heat. System) //L C4-62, TypeRoofing 1'Z,2. S./do/PI-Int.Wall Finish 5 -1 `r'r
of �' f�Ltr Ext. Finish
Use of Bldg. S, /-. /G?/..52.177/1-1_ No. of Units Bedrooms
Garage or Carport Attached /tf-t C4
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-
tewater supply lines.
(:::7
NORTH State License No.
Ind. Ins. Acct. No.
Afl / / 9J'-."/'
r x
REQUIRED
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Plumbing Perin
mit Ge... /"
Heating Permit ari-ix��
y' Xii
Sewage Permit .d A
1
to
Plans Rece' ed -.0"–
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby •er,: ify• information submitted is rrect and there are no other structures located on this property except
as shown. _
/
Owner ox. Aapnt; ate
Date
A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
am) 141,A40-ID - DO NO WRITE BELOW THIS WE
Your street address will ►+.
/ (I g. 7 ' cct,d- tk jtThe zone is jitild
Sewage Permit Number issued Building Permit ' Receipt ssued
Remarks
- f . ;
Form 523 Bida. Code
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1
is
8 s MR lPC.
SPLIT ENTRY
4-BEDROOMS -- TWO OATHS
1000 SQ. FT.
O.o. 88' 0.0
681
ALL BLDG. CoRUEas
1.8 ' Asow 0.0 Cuae
38 2z'
— 11
K
2 '
38
I
N
I ar `1
hh'a
13131
40
I
FF; 1
•
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0.0 88'
0.0
WOOD LAWN STREET
LOT 4 - BLOCK
oPPORT✓N 1T1' TERRACE ESTATES