1972, 02-22 Permit App: J1917 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT�??
GENERAL REQUIREMENTS PERMIT FEE
PERNIT 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.
MATER. 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 EligIneer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions N. 45-133 and 47.235.
SET -BACK FRUPPROPERTY LINES. In most zones and under most circumstances. a set -back from the front property Pine, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street. and a 25' rear yard are requ7iddc t
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 OP 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 s separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements riming with the land
which are• -enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
�
_ APP CANT FILL BE THIS LINE
Name" of 6wne l�/neaver-_ ,
Architect Phone Engineer
Address
ption from deed,
dress
Contractar.0 -a---1
Legal i script ion of Property (Give complete descr
DESCRIPTION OF WORK • NewlCAddition
Size of Ipt r4G k' / Z27
Dimensions
concrete, brick, etc.)
ROOlrls, Baths /_Basem
( 11, pa /none
Type of Roofing
Pvt�Jn�
Heat. Syste
Use of Bldg.
Remodel Moving
Sewage Syst
Total Sq. Ft.
bundation Con
fr
/—i/-
Ext. F
4
_ /ar
Phew
Phone
Phone
BI
g. Zone Fire Zone
ries ,
Vale nafie %la
ChimneyZJ-Y----FIJe,Place tea -'
(Kind) / ) (Number)
Int. Wall FirU
No. of Units —He
Garage or (Mr( Attac
Private Detached
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
m
I hereby certify informs
as shown. ..
SOUTH
itted is c re and
il d
`REQ D
Plumbing Pe
in Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
here are no other structures located on this property except
x� Fk
A l 2 -
Owner or Agent Date
A LAND°USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
Tour street address w$11 be
Sewage Permit Number Issued q / Building Permi
Remarks o(-eta-72-fm,Cena�L ,3ry( �nnn /�
DO NOT WRITE BELOW THIS LINE
.13
Form 523 Bide. Coda
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Legal description: Lots .11 except west 2 feet
and 12 of Block 2 Spark's Addition to' Spokane,
according to Plat recorded in Vol. L of Plats, page 6
in Spokane county, Washington. Together with west 4 fee
/5-0 of vacated Dyer St. ajoining said lot 12-
13'
Becklurd & Wollin Builders WA 4-4343 WA4-0714
Address of the above legal:C`; 7-21
13'
53
1900
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