1971, 02-02 Permit App I3427 Office411
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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 aiid4 gress 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
Name of Owner Address / U _ // V irs-- c �dPhone C0--- - {-3 y
Architect_ —cp.— Phone Engineer Phone
Contractor . r.-P Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
IPA 2 -7- O F AO A c t G. -••^ 01 c fi 4 Wi4 n N I t AA it.%- y r
712o C-rs at 4 // V 1. A'i ✓e c /4 is T- EXCEPT /&'A D kW
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot •GS- Ac2es I t4. te 3SO, C
Const gee•At'4 Dimensions 1- g X 317. S
(Frame, cpncrete, brick, etc.)
Rooms o Baths Basement
I' (Full, part, none)
Heat. System W ,1'$t aSS Type of Roofing S71gtk -
Use of Bldg ewa i sf ee tt 1 ptc;
I,
Garage or Carport Attached
Foundation Const
Moving Bldg. Zone Fire Zone 3
Sewage System rrikeg' Stories
0
Total Sq. Ft eiq Valuation / 2/ 000. 0�
Co C Chimney Fireplace '~
1 / (Kind) (Number)
1►vC)UD Int. Wall Finish /Ail V//1
No. of Units Bedrooms r
Ext Finish
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
Sta�/License
No.
// /
Ind. Ins. Acct. No. r'�
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submtte�rrect a there are no other structures located on this
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION C
HIS IS NOT A PERMIT.
WO/ (Pr/
as shown.
Your street address will be
`sewage Permit Number
Remarks
fir
Form 523 Bldg. Code
2
e zone 1
Receipt ;Zrj 3.C1 Is
�� . 1) )1 1
J/ /7/ J
property except
1
„5 IN THE MATT.c R of the
No 2112
'KNOW ALL MEN BY THEsI: PRESENTS, That A Rii% N C C. i` ,�tiS1C N
and' FL0i:IS .ISAUSKElN
in the State of \Vashington, in consideration of the benefits and other valuable considerations, and the sum
of Dollars, paid by the County of Spokane,
the receipt whereof is hereby ,acknowledged, have granted, bargained, sold and conveyed, and by these
presents do grant, bargain, sell and convey unto said Spokane CountyI the following described parcel of land,
situated in Spokane County, in the State of Washington, to -wit:
..A=s-tv vS�rYaiti'�e�vaxanmwaRYa i i�$t"le°�SiFymaaasr� carxa cS'17 °�iti `Ctt "r�iT'.i"l�C } CS'1hlY �itTN,"'f7{ ” "li(i
ve l-tw-3es-in'lt'rr'4i.Thm j7pf.p..t.'4-,ai4441.1; ftrrt,rr-.rr�ir •• -°!^riri.
. 4; c4- -4'i*s-c ep- ti�rtiereed
iH"r'1' 1'.Q..•• i?6J.V.& 7N?'i1i0444w4,o4 mac.-e.1 +04tiiR—tfri..40t4(4. t'li't ePfirefrt. ti aPrey+'`"m1—(9'le•w•n•�'}i-_--K,•�'i•t!
.,,��_ _� �_.e....... . =�° 1 =---- The South 17.5 feet of Lot 39 and 40 of
..rr�.•.a+;.--,.+.�,:S.�,tr..sL°�."�:�i�:.:d.:..jy";+L,"::+:�.:a'ti. 4L.:w.:ie.:.n....tx.r
Pinecroft Addition and that portion of Lot 42 lying south of a line 17.E-feet north
of and parallel to the south line of lots 39 and 40 produced easterly to the easterly
, his wife, of the County of Spokane,
line of Lot 42¢Located in the Southeast Quarter (SE4) of
of Section 9 , Township 25 North, Rang44 , E.W.M.
i
TO HAVE AND TO HOLD the same, unto the said Spokane County for the purposes of a public road
forever.
In witness whereof Irr' have hereunto set our hands. and seal.,S ... this 2 i;t u
day of June , 19 70
j (NOTE: If married, must be signed by both husband and wife.)
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