1972, 06-26 Permit App: J3644 Residence w
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. County of Spokane. Washington
j BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 i b/
APPLICATION FOR LAND USE OR STRUCTURE PERMIT v°
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 lglneer'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 vii action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LIQ;7
• Name of Owner m• ! o�/ - ddress
Phone =
Architect_ _ Phone_ Engineer y cit. . 7 Phone
Contractor Address `�I V-2 ` -4,--,...4.,, ,, Phone
Legal Descr'ption of Property (Give complete description from deed,- x.receipt, etc.) / ef.�-' il
--, �� S'y
3 � S -_/' _ Ala r y �� /
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DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone Fire Zone 3
Size of Lot ox /.57.i _ Sewage System f's�d.G� Stories / C)._)
Const. 1/---- Dimensions Ziff X d-,6 3 U 0 Total Sq. Ft. / '7 6 Valuation
(Frame,concrete,brick,etc.)
l/� Fireplace /p
Rooms Baths��Y Basement Foundation Const. _Chimney (Number)
G(Full, part, none) !l (Kind)
Heat. Syste _'6t•. _. Type of Roofing ) A.. ;1 Ext. Finish '-6:- Int. Wall Finish
Use of : dg. _ .1 _ / / .f v No. of Units Bedrooms 3
- . s/..
Garage o rpo,t Attached ' I / Private Detat hed
/ ` �,�
PLOT PLAN �.r
Draw sketc with dimensions showing: (1) property lines; (2) street or road Goca ions; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
te_ wand water supply lines.
\ State License No.
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NORTH ' 3 — 0 %— -/y/c)
Ind. Ins. Ac t. No.
I / 2///7
Cry l
\D REQ RED
1 Plumbing Permit -)----//7--
I e Heating Permit z,- -/
0
Ro
Sewage Permit
Plans Received
Plans Checked
Plans Returned
KIN Plans Picked s
Plans Mailed'
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SOUTH 6 is-
I hereby certify informs „,on s .��' tted is correct and there are no other structures located on this property except
s shown. /j .,/, 2
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
h DO NOT WRITE BELOW THIS LIME
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A25-14 \--</ the zone is �./• �/-- ,
Your street address will b /
Building Permit. Receipt Is led
Sewage Permit ��ber Issued
Remarks � ,
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_..yril
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14°t Form 523 Bldg. Code
1
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CFRTTi+ICJ\TE
I certify that I have surveyed and staked:
The east 90 feet of the west 270 feet of the north half except
the north 162.9 feet and except the south 25 feet in Block 178,
Vera also
Beginning at a Point on the north line of 15th Avenue; 289 fee
west of the east line; thence north to a point 162.9 feet sout
of the north line; thence west to a ?point 270 feet east of the
west line; thence south to the south line; thence east to the
Point of beginning in Block 178 of Vera, in the County of
Spokane, Washington, as shown hereon.
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V. .'r• !TF CAMERON
Professional Land Surveyor
Locher Construction Co,
E. 723 Garland Avenue E. cA�
Spokane, Washin ?ton ,
June 23, 1972 �cP��of WAsy,4C�v,
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