1972, 12-28 Permit App: K320 Residence 7 .
,.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT p
GENERAL REQUIREMENTS - PERMIT FEE 114
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
Sp kane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WA . Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
th F,m, fluftershoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
S AGE 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.
APPLICANT FILL IN BELOW THIS LINE
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. t7 J ,f.-c-.s .ef 1--Phone
Name of Owner.. _ �.�ti -f ` ddress a �'� ��
Architect //Phone Engineer Phone
Contractor �y..e_� Address ' j Phone
Legal Descript on of Property (Give complete descri tion from deed, tax receipt, etc.) A1'., i , 2,4
<' /0 t Cr X /4 C� /2 'L "U 36 /1 f"
DESCRIPTION OF WORK:New V Addition Remodel Moving Bldg.Zone Fire Zone 3
Size of Lot 90 X / L) Sewage System 4« Stories I �?
Const. Dimensions ‘6''.0 X .? ° Total Sq.Ft. v'q.36 Valuation p2 9, cai
(Frame,c ncrete,brick,etc.) 7 !�J n —
Rooms Baths Basemeniat _ Foundation Const. C�T�j Chimne rw,Fireplace
(Full, part, none) /e: y-_ n (Kind)FV er�r),p
Heat. Syste Type of Roofing .@�?!�_.Ext. Finish,��evcr�' ')'� -��"^.- „JJ Int. Wall Finish <-�-C
Use of Bldg. Z.or-�t_i No. of Units Bedrooms
Garage or Carport Attached Private Detatched
CPLOT 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 State License No.
Ind. Ins. Acct. No.aNf REQUIRED
Plumbing Permit -�2- l/�-'"'.-�
NV in Heating Permit y>.,'i.KI
in a
N tn Sewage Permit
C--..,,,P -8 l Plans Received
Plans Checked
3A.' l Plans Returned
IN Plans Picked Up
Plans Mailed
/7 H&
I hereby certify '. . mation submitted is correct and there are no other structures located on this property except
as shown.
Owner o gent ! Date
A LAND USE OR STRUCTURE PERMIT M ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
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Youes r' e' address will be // ie le zone is
Sewage Permit Number Issued Building Permi ,I A Receipt fnf?` Issued p--p----0A iZJ-.
Remarks �,
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01111.11111
I Form 523 Bldg. Code
7
I certify that I h've surveyed 'nd staked nnrt of
Plock 11 of '.Voodlawn -Park, 1.n ok ,ne County, Ws.shinpton,
described as follows
Lot 15 Pnd the west 40 feet of Lot 16.
Lot 16 except the west 40 feet, all of Lot 17 and the
west 30 feet of Lot 18. 2/ �,
V. -' ' ETF C A. Z COPT
' 1"Imiwi
1 Professional herd Surveyor
Mr. . Tarry Holnuist
F. 305 Fairview Ave.
Spokane, Washington
October 23, 1972 SNE C L,
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