1972, 03-20 Permit App: J2235 Residence _____
. County of Spokane, Washington i o/
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201 /77 d
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL 11.3 BELOW THIS LINE
Name of Owner A. J. Construction Company Address E• 3731 Liberty Phone Ku 74831
Architect_ Phone Engineer Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax recei t, etc.) No parcel numhAr
27=25-41+ _Hillcrest Acres 4th Addition —
D,SCRIPTION OF WORK:New X .Addition Remodel Moving Bldg.Zone / Fire Zone 3
of Lot I
70 6 6 y' / G'' Sewage System Septic tank Stories 1-112
Co st. F' 'ame Dimensions :171
y 0--/
— �F Total Sq. Ft. y 3- Cl Valuation $27;000
(F ame,concrete,brick,etc.)
Rooms 6 Baths 2 Basement fulg undation Const. concrete Chimney Fireplace 2
(Full, part, none) (Kind) n,.,,,,S+-(�N�umber)
Heat. System Gas FA Type of Roofing Comp Ext. Finish T-111 ar ^Int. Wall Finish 1
Use of Bldg. Residence, garage attached No. of Units Bedrooms
Garage or Carport Attached 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
O.K.
Ind. Ins. Acct. No.
see attached
REQUIRED
I Plumbing Permit
1 in
m Heating Permit
to , Sewage Permit
tr
-4 1
Plans Received
Plans Checked
Plans Returned
I Plans Picked Up
IPlans Mailed
SOUTH
I he by certify i.formation submitted is correct and there are no other structures located on this property except
as shown.m , # 1 y6y ) 3-20-72
IOwner or Agent Date
A LA • USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS*OT A PERMIT.
,IL
4144� ,�, DO NOT WRITE BELOW THIS LIRE
Your street address will be U j / :' R-1 Single Family
'7 -G'64'd' The zone4g4403
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks Entered Ori maidCY
T
Form 523 Bldg. Code
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