1972, 01-26 Permit App: J1792 Residence . County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE_._ -/ ----:
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 enfor • covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE /4, 1 ,i100
Name of Owner :A. // Address / .—. i_ ,.` Phone F-G oil?
Architect . • Phone Engineer Phone
Contracton\._ orit..k / / Address itPhone
L gal Description d1 Property (Give complete description from d•ed, tax r•c•ipt, etc.) 7� — V—/C-21/
/.
DESCRIPTION OF WORK:New --<ddition Remodel Moving B1 .Zone -/ Fire Zone
Size of Lo S-KW Sewage Syste_03:1/.
ya i r�C�'�" Stories
Con Dimensions .•.2(� x.3 R Total Sq. Ft. 9098 Valuation si/4 acre
(Fra ,concrete,brick,etc.)
Roo s Jr Baths / Basemen oundation Const. Chimney Fire lace /
(Full, part, one) (Kind) (Number)
Heat. System Typ of Roofing -4: Ext. Finish C.b4Tht C Q Int.Wall Finish �/��dC
Use of Bldg../C .t+i7) No. of Units / Bed
.
r
Garage or Carport 4 /��tache. --1 -ti .i ,/ 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
( 1\(\) Ind. Ins. Acct. No.
REQUIR;, /
P /A/d. rte/ �4lumbinf )(� g ,,.•, '
m
� w� Heating Permit ,/, <<
in * Sewage Permit
. .4 .
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer • . information subtgitte� or
s crect and there are no other structures located on this property except
as shown. 2/
Jr 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 /
Your street address will be ' (2 ' //e-- The zone �/ /-` '/
Sewage Permit Number Issued Building Permi i'�C/'1/ Receipt e G/A• Issued
Remarks `j.... t
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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 2( .
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Tony Miller . •„, '.• ', -1 •,?;--•,',,,'
W. 3439 Beacon ; ' - ;., .
Spokane, Washinjton ,.:, • • ,,,
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Job Ne . 72087
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220-31
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