1972, 09-25 Permit App: J4886 Residence C::ird::::75')•
County of Spokane, Washington ,
Q
i BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3f--1
IENERAL REQUIREMENTS PERMIT FEE
IT 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 mast 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 IN BELOW THIS LINE ; ,-1 t ,,'/ i?D11
Name of Owner �� �_/ "� .• _Address S�r /1/7 -..RL/t.r. , . Phone
Architect Phone__ Engineer _ Phone 2
ContractorC=]4/ /2ve Addres. 'i 1 �1 "i' ffU _- Phon' rfi
Legal Descriptions o Property com/plete descriptj°n from ••ed, tax rece ,pt, etc.) 40 • •• �/El i Ar
k a E/� e .e 1 & 7, h p ft vt7c./' �1•6; 445_ / �/ Sr fe B4.
_
4 _ _2/a l r J4 /1.6 Ai 'z3 in 0 Mirraffir . .6 Al OW _ s v t77y
DESCRIPTION OF WORK:New v Addition Remodel Mo g T �B g.Zo - / Fire Zone
Size of t 1 6P- ,,v- /a a y ✓ Sewage System S' LW to a?--,--
(Frame,
Const. f" imensions ffl•4 x F" Total Sq. Ft. - !e. . Valuatio> of -,--�
(Frame,concrete,brick etc.) FrX xA4-i�.x"2.b- 9 i� 1/✓
Rooms_ 6, Baths I Basement ` Foundation Const. C'6 f7 C f Ell-e. Chimnef. (7'Jehatlreplace
. (Full, part, none) /- I, i (Kind) (Nu ber)
Heat. System s.7d�— Type of Roofing l_ b/7J/ /.2 /1
I10 Ext. Finish X/7 S6/k.4 .3d call Finish
Use of Bldg. ir. S(C1.0 /T C. Q. No. of Units Bedrooms 3
Garage Apert Attached 2,, n'it D a ' 3Q�f^ Private Detetched
PLOT PLAN 4! A° 4
Draw sketch with dimensions showing: (1) property lines; (2) street or roam =tions; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions•L• ildings; (6) location of sewage sys-
tem and water supply lines.i I
NORTH State License No.
' gza3 - o / /%Y4/
7 / A17" 57,/\/-t-H / 76�-- .9.../ : --
A ✓_ REQUIRED
/ Plumbing Permit
in Heating Permit
no / A
tnod • Sewage Permit
-� •n Sewage-1
y . !/ in Plans Received
.2. 5-y
\
' Plans Checked
Plans Returned
Plans Picked Up
\. Plans Mailed
SOUTH
I hereby certify informationtt-d is correct and there are no other structures located on this property except
as shown. �` i �--
owner , Agent Date
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-6/14, 41DO NOT WRITE BELOW THIS LIME
IA)1., Your street address will be e, / b 7a2 L 6 Cil -0-ix,(5- a zone i
,' Sewage Permit Number Issued Building Permit riceiptq�q Issued
Remarks //7777
(14)X`1, 9-3 .- c44411./ /40.- AJ _F- /L' .-c r S..
c) r 'ciL'4,, €.. P= . r /2 C.o✓ C)21 C )& t L e -
Imam - -
Form 523 Bldg. Code •
pA;1i' (;r ori i,- Q T.4 GF 0a;T1 N. V; 25N., it. 446.'+1.M,
LiPUii.►.\, CUU,dTY, d,s irn1t.UTihti
e a
6CALi: 1" = 1001 , . ..
LnT : Aoril 14, .1972
• This will certify that a fi,13 •survey was 'pnri'nrrgr-) ,-r•'-•,• my supervision on .
the following ttpscrihrd,oron-,,rty and the prop, ,,, were setk.ls shown.
J`!..)Cn1Pl'i0ri2 Lots 1 trru 12, 51r3ck 36 10„t , ,I
in to1U lr ; Jia t'acords of 1 I orm9ite 'as record
;ic;.rtn•Cotithttp'Ida sh '
fgttC)i:, ..1” Tra s t ,37 � , ,.
.�. ,. et o f i c r i,T,
1'nw•- ' lncat� in Kokomo
.ite .r,-clr-le,d in 'lol-. ; ,, of of plats'
1nokan�e •Cotmt•y, 'lir3h'_n trn. ► Page. 50;
PAi.0 L '1�,, :list 17/4 4 I,,iy,
_ d f- rt _a. >~-1st 37.20 f� t, or North one-half of
elock 36 F+:c.
Fht.Ce:L'"3" :. St 261.60 .-e-t, 'nJ.; i'P °a s!. 17/1.40 re-'t. Of -!dorth one-half of I
Dlovk 15 ptc.
• t'/tic41, "4" p),11. 348.80 feet i.:ast.. ;.t A
Flock 3-6 etc. 1. G t', o+ of , orth one.-half of
k'tkitC.;L "5" East, 141A.00 feat .-%.0 t'T ,F-ist y, 3.'io fret of r;orth one-half f
t3J.ock 3 "to, 4
"bairn,., "A" last 523.:'0 feet iy..r'f ',ast ',---JA,Q0 f-et of Borth 'one-half•of
:dock 36 'tc.
ti►tit;':L "7" A11 of the North one-half of illle.4.1c 36 located in Mokomo Town
site as n=cord,rl in Jol.ume "J" it-,cord of Plats
u kanei t3ounty, .J3s�iinryton � . Pas.!L �o;,,
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