1972, 02-22 Permit App: J1916 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.....3
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 Ord inane . Construction is subject to inspection.
WATER. Water supply must be approved by the County and state Health Departments. there work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Rigineer'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 HLGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and elress.
COUNTY ROADS. Work on street right-of-way may no be performed until staked by County Road Department and wdritmuat, 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.
A--LICANT FILL 111 BELOW THIS LINE
Name of Owne
ddress
Architect Phone Engineer Phone
Contractor .--02ML(% Address Phone
Phalle Lp 7 rf - N«>«
Legal Description of Property (Give complet description from deed, :,:v i._. iet, e� .)
DESCRIPTION OF WORK: New a Addition Remodel
c6X.4-27
Dimensions9 Ca X/}a -�./
c trete, brick, etc.)
s_`-,-_-5— Baths / Basem
(Full, part
Heat. System
Use of Bldg.
Garage
one)
Ty pf of Roof
eb d
F
• i /to „nit
ion Const
AP ILL
Eat. Fini
Moving Bld Zone_— Fire Zone
Sewage Syste Stcptes�i / p
Total Sq Ft. Valuatuen rpt t peril
Chimney a F place
(Kind) ( / ) (Numbed"
Int. Wall Finish
o. of Units —B oms—
Priva e Det etched
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 5,5
tem and water supply lines.
NORTH
State License Na.
R!QUI
Plumbing Pe
w Heating Permit
Sewage Permit
I hereb
as shown.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
Information s mi ted 1s correct and there are no other structures located on this property except
Z- 2- -7
owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9,u, 1444*ID DO NOT WRITE BELOW THIS LINE
Your street address 1111 be - 6
Sewage Permit NumberI� Issued
Remarks ,2 - 'a7 rt - mat
Building Penal
t e �w
zone 1
Ila Receipt f Issued
(3TC
form 523 Bldg. code
— 10°
—la -
Legal description: Lots 9, 10 and west 2 feet of lot 11
Block 2 Spark's Addition to Spokane,
according to plat recorded in Vol. L of
Plats, page 6 in Spokane County, Washington
/5'
13'
Becklund & Wollin Builders WA 4-4343 WAb07:
Address of the above 1egg1: C ' 6 313 " If=
53'
13'
52'
13'
101x11
PATI 0
1
,e
2D" To Top of •
FOun DAT/on WALL.
SCALe•.3/51= 1
•
— gb' 0" —
•
N
N
- 10'-
r-
-12°
-12' -
NORTH
qrs* ,4vE.
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