1972, 07-13 Permit App: J3750 Residence . County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99901
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 am
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' rearand are required.side yard from a flanking street, and a 25' Y
ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
nd egress.
OUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be r
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 e. i.�k ,5 Address ( ) U a / • c'y 6 ►an1 r 32 '•
Architect Phonertgineer, __ Phone
Contractor '•,.5 0-2/ �� Address _ Phone
Leal Description of roperty (Give complete description from deed, tax receipt, etc.)
e /er
DESCRIPTION OF/WORK:� New k/ Addition Remodel Moving Bldg.Zone / Fire Zone 3
Size of Lot �o ! . 6:2-5— / Sewage System .JP/01, Q— Stories /
eC
i
Const.-P14 i».ems Dimensions c".r 1/ ,3 ._ /d r 2 t' Total Sq. Ft. /0-1.9—() Valuation,/1 f D"Vt>
(Frame,concrete,brick,etc.)
Rooms '1 Baths / Basement e.f t_Foundation Const. IP Ai/I e-/- '_ —Chimney . Fireplace �-
/ Full, part, none) L �/ _ (Kind) / (Number)/
Heat. Systeme/Tee- Type of Roofing /0 . �/ 4,/ Ext. Finish / / / / Int. Wall Finish 410/ / a
Use of Bldg. ,�f i Y i7'-f-t`' -I,7 47 c /tilt J No. of Units Bedrooms
Gara e or 'arport A Cached C ex i fj 0 / 1- aer e //.P Q< Private Detatched
IN PLOT PLAN
Draw sketbh 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 suppl lines. State License No.
tjAt NORTH
r _e. , diL)4elam
1 Ind. Ins. Acct. No.
SSI
REQUIRED
co1 le os ,e_c4 l
— t Plumbing Permit
,,,'•,.. r e .S , d�P vi cl. ' '�
in Heating Permit
m I
IA r M Sewage Permit (.-/- ---
-4
Plans Received L—
Plans Checked
Plans Returned
\ -
\ Plans Picked Up
Plans Mailed
/0` r SOUTH
ereby certify.iinformation submitted is correct and there are no other structures located on this property except
as sh ,--- �- 'e
Owner or Agent Date
A ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH S IS NOT A PERMIT.
1 - C DO NO/T� WRITE BELOW THIS LINE
Pi 'Your street address will be e- 17 U U' 4 _� it +P The zone is ' C v/Iu�4 /
Sewage Permit Number Issued Building Permit - -3 Receipt 9 Issued
Remarks .
14(A-E-',./C,42-k- ( '' KE--S-3 'Z(3
/Y --,4,4- Cl e_2i('i OC- r r'
Form 523 Bldg. Code
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JUNE 15, n72
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LEGAL DESCRIPTION
, .
THE E_A5-7 (2,5 FEET OF 1A/._E.-)T 330 FEET OF N'L LOT 9
BLocic a5 COF,P.,,I N A bt) T I 01'4 TO GR,E.ENACREb.
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FOK: P'}-i I L bAV15- CLA R.E_NC,E E
FOR. BUILLI N.C-..-. IP EP.I.e.i-r ONLY N 30 3 ARJ7--0.NINI c--
3PoKANE WATo`ri:NG-7.0N
WA CI 13aa