1971, 11-29 Permit App: J1429 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_._31pe
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 can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Namerof Owner it tt • ± _ •1 r : •ddress P•O, Rpx l) l8? ��� Phone WA 6...7 Sed
Architect Phone Engineer Phone
Contractor s.S ."SYD" PAUL C ONTRAC'T'Or ddress P.O. BOX 14181-- 99214 Phone WA6-7951
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot X 11.E of Bik 3 , Hillview Estates subdivision SUM in the Countyl
of Spokane, State of Washington.
.;-7 s VS 'l)1/
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone/-) / Fire Zone --p
Size of Lot _ _ . - . • i - :'• • wage System ado�, t,i.J Stories
Const. frame Dimensions 38'X26 t Total Sq. Ft. ,8L7—Valuation 20 00• q0
(Frame,concrete,brick,etc.)
Rooms 6 Baths_l_Basementnitruilandation Const. concrete Chimney metal Fireplace non-
(Full,
on-(Full, part, none) (Kind) (Number
Heat. System F.A. gas Type of Roofing c omp o s i t i o i xt. Finish T..1-11 Int. Wall Finish Dryw a l l
Use of Bldg. Residence No. of Units Bedrooms 2
arage or Carport Attached none
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
223-01-11681
Lib 1 2 'cct. No.
,' REQUIRED
kPlumbing Permit
(l / m Heating Permit
m
cm-I
�' N Sewage Permit
U-' -
Plans Received BASIC 103
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submittl is correct and there are no other structures located on this property except c
as shown.
-- � -� � � November 29,1971
Ow er or Agent Date (
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
(
THIS IS NOT A PERMIT.
o DO NOT yW�RITE BELOW THIS LINC
Your street address will be `p ( /� ,�� �e zone is 7
Sewage Permit Number Issued Building Permitill Receipt Issued
Remarks .`
Form 523 Bldg. Code
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