1972, 01-26 Permit App: J1793 Residence r0),.*-A .�
per3/1)j CY‘j ,
County of Spokane Washington
________ _7/
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT s72(
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 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 en •rce covenants or dedications.
APPLICANT FILL UI BELOW THIS LINE " �,_ ' 0.
Name of Owner _ _. _ .. . Address / _ A... Phone,c a 1/
Architect_ Phone Engineer _ Phone
Contractor N .( Address -„-----a.42.--t //1� Phone
•
Legal Description of ro erty (Give`coAplete description from deed, tax rete'. etJP: *, —till. ,
c -�s ' o /9 Y7 20 'v /8� ,,v, J /0iitet...._ ./i. �� j
DESCRIPTION OF WORK:New ✓ Addition Remodel Moving ^Bls g.Zone / Fire Zone 3
/ /'
Size of L. (p,S' X /� Sewage Sy . Stories
Con_ 2✓./...A._ ' Dimensions „7G ,1'38 Total Sq. Ft. '~F , Valuation-91fO
(Fra :1°concrete,brick,etc.) ota
Roo,,s ] Baths_L__Baseme Foundation Const i'2I Chimney /3 ,Fireplace
Full, part one) :7 i., (Kind) (Number/
Heat. System /* Typ of Roofing lCJ X377/ Ext. Fini4W - Int. Wall Finish �/ .. LI/
Use of Bldg /AV. .—a-----/ No. of Units / Bed r'ms -
Garage or Carport • ed 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
Ind. <,1•�s/cc No.
2-44::7,716–gel„.. .. REQUIR-D /
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� Plumbing P- . r l.� •4i) ,
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� Heating Permit t, C
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v► 71,
Sewage Permit
—I vim
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ify i formation ted r-et and there are no other structures located on this property except
as shown.
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
LL
Your street address will be /742..S-- Ce//67-:- „� .e zone s .1. .`1--,-�-&- �'�A
Sewage Permit N .• "M Receipt �- / I Issued .
Issued Building erm
A e
Remarks _ .. di'''' . �, 7. +r
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 10 .
Parcel 2 Lot 18, except the East 20.0 ' ft. and t_11 :.
East 35 .0 ' ft. of Lot 19.
Parcel 3 Lot 19, except the East 35 .0' ft. and Lot 2t
Tony Miller
W. 3439 Beacon
Spokane, Washington
Job No. 72087 -0
220-31 / .
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