1976, 05-17 Permit App: L3853 Residence ity of Spokane, Wa, 4ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT —3 c/2 2
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 4riate
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 enforceabl thxough civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE y
Name of Owner
_� S Address /30 3�l Phone 2 21n-'92/
Architect _Address N MiAl is Li 6 f Phone
Engineer Address Gt-•tbe 4�a,s Phone -.
Contractor 5 4 ,"'1-- . (12- Address � Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Pb)-Co L Ito 7-61"1-ie 07 tn-F
Q.14,S-14,7,- l0/6 Q
__, ,,....6fg.-,--.....e.,/
--047,----'
DESCRIPTION OF WORK: New ~�'
X Addition Remodel Moving Bldg. Zone � Fire Zone
Sewage System onst.:>,ktd'I( " 1
Size of Lot 8%,5' )/. 1.25 $ "7-7
y „ / (Fr., Conc., er., etc.)
Stories !!! Dimensions v��7 x 4Z-�� of I Sq. Ft. Valuation 3�0O0
Rooms N Baths i-- Basement�-N1r Foundation Const. w N C Chimney g /L,<- Fireplace Z
(Full, part, no e) (Kind) (Number
Heat. System ZL 1 Type of Roofing Ext. Finish /—I '
// Int. Wall Finish
Use of Bldg. it P 5,0L j'/VC. g, C..
' C-..- ',,,,A- No. of Units_Bedrooms 3
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.
ns
,�VN IN.� N �, State Lice1 NORTH RESIDENTIAL - COMMERCIAL J //�e No.
IInd. Ins. Acct. No.
1 ) •
ri - ,
REQUIRED
Plumbing Permit
>) m
•V'
Heating Permit
m Di > M
to f- N Sewage Permit
-. pr I "�
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0 0, �1..f r b --� .. i _ Plans Received
(, II f n Plans Checked
_�' Plans Returned
1 �, p Plans Picked Up
r ' Plans Mailed
SOUTH
I hereby erti y info do submitted is correct 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.
(4-nit 1/1,74 K 1, DO NOT WRITE BELOW THIS LINE /
Your street address will be '' / d 00 {� The zone is% , �
Sewage Permit Number Issued Building Permit�,�T 3 Receipt i Iss „
Remarks
Form 523 Bldg. Code
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e. Rich 4,12a .
General Contractor
ROUTE 1, BOX 39
NEWMAN LAKE, WA 99025
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1 ° PHONE 226-9921 „r1,
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LEGAL DESCRIPTION
PRCEL A:
N
•
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Iea > _ :--,1.) fee±: of that -,-..1-31..-lion.. of ? :na _; ) _
P...1-,._;,-.
c ia r o •,T,J f
a ,rter o, >ection 26, 2�wriship .25 ;or _ •P � 2 Spokane;
iUf _y
,V + :11 t71, and that portion of Lo - I -. 'I, 5l _:; 4 of :,,I".-?..WAY HOMES ADDITION,Nd_.�.oo�ding
to plat lorded in ,,To'i c 1'' _. ._ Plats, Page 5, �-G:ita _.
_ _.. within
Tract dt - - - _1110-, � . the
Eegi ening at the Southwesc co:;mer o..:. the intorzec tion of 17-)th Avenue and
Banners Road ; thence South 125 feet; thence West 250 feet; thence North 125
feet to 19th Avenue; thence East 250 feet to the point of beginning.
PARCEL B:
;The East 80 feet of the West las feet of that , c
po a of L.npla t;:ed Northwest
rjua _er of Northwest quartet. of Sect on 26, -' ! .'-ns in 25 .T.,,_ t,i",. Rage 44 E.W.M.
'_ri ipokane Cour'i`_.y, Washing' an.i tha ''7' t_.... o: Lots 1 d, f r = i
AIRWAY HONES ADDITION,v', acco_ _,ing to pla recorde in 1olur3e 1 of Plats, Page
5, contained within the Tract descr it d as fo11u,.:_ : 1
a
Beginning at the southwest corner of the inters v __. t of ,.f A T;e.1ue a:. 1
Banne.n Roa' ; thence South 1 25 feet; thence � e
f. .. � cr LTJ feet; :c•" �,.' �"''-'"
;feet to 19th Avenue; thence East 250 feetth4of J_ t^ 3
to point �e,�_ininc.
PARCEL C : I
e
The West 85 feet of that portion of unplatterci Northwes=t quarter of Northwest
quarter of Section 26, Township 25 : '?arige 44 f W.M. , in Spokane County, 1
Washington, and that portion of Lots 1 and 4, Block ,4 of AIRWAY HOMES ADDITION,
according to plat recorded in Volume 1 of Plats, Page 5, contained within the I
Tract described as follows: i
•
Beginning at the Southwest corner of the intersection of 19th Avenue and
Bannen Road; thence South 125 feet; thence West 250 feet; thence North 125
feet to 19th .:" venue ; thence East 250 font to the point of beginning.
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SURVEYOR'S CERTIFICATE 1
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