1972, 01-26 Permit App: J1791 Residence o®'
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County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
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 ant
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.
APPLICANT FILL III BELOW THIS LIFE
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Name of Owner _7.�� i.40.. -... Address _..- f II A. Phone F . -0//7
Architect_ Phone Engineer Phone
Contractor Address 4.44 ` Phone
l`gal scription of Property (Give com.le a description from deed, . r•.ceipt ; c.)- - ,r'' • 1___4 r-
1 •
DESCRIPTION OF WORK:New Addition Remodel Moving BI. .Zone / Fire Zone ---?
Size of Ly- .�X I 7 / �/} Sewage • d`r_A•/.. , ' , Stories • a1�,2
Con- ..� f Dimensions (o X n Total Sq. Ft. `��� valuatioell'Vu e
(Fral-,,concrete,,brick,etc.) /
Roo �s ��Baths / Foundation Cons -6 :7
e Chimney 03 Fire'lace
(Full, p , none) (Kind) i (Number),
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Heat. System ' Type of Roofing Ext. Finis 04a,4)141;-
44, )14-�- Int. •Wall Finish _dr_., -• -
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Use of Bldg.( . pa,/xs�eP No. of Units f Bed Homs
Garage or Carpor AttachecCi-7-24) r...7-e_.--) 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-
tem and water supply lines.
State License No.
NORTH
I114e,-)I cc!. No.
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REQ
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Plumbing Pe
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en Heating Permit ` -,
to 6D2-.0"-
tin Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce• , y inf motion sulred .r ect and there are no other structures located on this property except
as shown. 7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
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Your street address will be _ '% �e zone i Jam/- j
Sewage Permit Number Issued Building Permit A Ji q Receipt gc,( , Issued
Remarks
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Form 523 Bldg. Code
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Map showing survey of Lots 17, 18, 19 and 20 Block 10,
WOODLAWN PARK ADDITION in the County of Spokane, State
of Washington more particularly described as follows:
Parcel 1 Lot 17 and the East 20 . 0 ' ft. of Lot 18.
Parcel 2 Lot 18, except the East 20 .0 ' ft. and the
East 35.0 ' ft . of Lot 19.
Parcel 3 Lot 19, except the East 35 .0 ' ft. and Lot 20 .
Tony Miller ~ �
W. -3439 Beacon
Spokane, Washington 4
Job No. 72087
220-31 / ,
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