1972, 03-09 Permit App: J2115 Residence toe
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITE '43 6 o
GENERAL REQUIREMENTS PERMIT FE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an.
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 &21. rs 9 216
Name of Owner _ .�-44.4.Aru .,.d..d ddress . �!//,7 — , phone ��
Architect Phone Engineer Phone
Contractor ' 2/0-1/1/1.)t- AddressPhone
Legal Description of Property (Give complqlte descriptio rom eed, a r•ceipt, etc.), 2 2q,3'1•14 - SQ
DESCRIPTION OF WORK:NewAddition Remodel Moving Bldg one Fire Zone
Size of 166 X 0 G f Sewage System ,1_,J Stories
Const..i� vLC Dimensions 4.4X U — ,Z/X 5 Total Sq.Ft., .6 13 Valuation.2,50
(Frame,concrete,brick,etc.) k� 6ddd E'
Rooms.__Baths Basemen oundation Const. —Chi •y Fireplace
(Full, part, none) Ce-W1-1Q.-
�) (Kind) (Nu ser)/
Heat. Syste Typ f Roofinng `'" 1` _ Ext. Finish T//I Int. Wall Finish . 4, A L
Use of Bldg. /,(-&-f/t-0 No. of Units Bedrooms
Garage or Carport Attached 4.�a.�e�.' 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 .225-0/-
Ind. Ins. Acct. No.
s2.1,e_ /
,pJ ,t� REQUIRED
Plumbing Permit 1,"--
**
m Heating Permit
m
Sewage Permit
-4 ^i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ISOUTH
I hereby certify infor tion subm7ted is rrect and there are no other structures located on this property exc'ipt
as shown. f7///(7/ 1— 97 /2
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
4 J _ry DO NOT WRITE BELOW THIS LINE
Your street address will be c . .ire •e zone is •LI
Sewage Permit Number Issued
Building Permi /(t Receipt Issued
Remarks
Form 523 5Ido.JCode
•
MAP SOWING LOCATION OF RESIDENCE ON LOT/4 HLK. K, CHESTER HILLS
ADDITION, SECTION 29, T. 25 N. R. 44 E. W. M.
SPOKANE COUNTY, WASHINGTON.
i'IARKERS SET Survey for loan purposes only
Scale 1" — 301 Surveyed; 1/31/72
I hereby certify that I surveyed the above described property and
that I find the improvements to be on the premises in question
and that they do not encroach on the property lying adjacent thereto.
No improvements encroa.ch on these premises.
S
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