1976, 02-23 Permit App: L2699 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6-0
GENERAL REQUIREMENTS PERMIT FEE.Lc2�
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 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
Name of Owner _ V,// 0L.%3 Re.4PE e Address /t/ # . /Am .' 4ke" Phone 3312. ; 79
Architect Address / ae../n6'1 f Ale} • Phone
Engineer Address Phpne
Contractor /5764/1l/Z" ' 7(it/5 j�/j Address r?C)( /(7'&13 L'f' 7°?'Prone 223
Legal Description of Property (Give complete description from deed, tax receipt, etc ►
tom. ` cis= 7? - /,f ` et= � N / 3 S ' Lc A' ,mss tip / 7
Cc' - -•S/ /%,4, i7 Cam .c.Leaic-,C'
DESCRIPTION OF WORK: New
Size of Lot
Storie
Rooms
Addition
Remodel
Aff
Moving
ewage System
/Y5' :.3 -0 0,3 3 �
Bldg. Zone / Fire Zone
Dimensio
it-Raths - cement
Full, part, none)
F86 Type of Roofing 6)"7 -r�.�
i
Heat. System
Use of Bldg.
Foundation Const.
X/0
/de_
Ext.
.`5F/47C C
Total Sq. Ft €. 3 F" V
Chimney i7
(Kind)
Int. Wall Finis
��jj
No. of Units a-Bedrooms
onst. �1`�}7Mf
Fr., Conc., Br., etc.)
4-/:„ 17z/
aluation
Fireplace
p �'
(Number
Finish %I1IS104-/ i
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildiggS
tem and water supply lines.
m
1381
40`
0.0
I hereby certify information bmitted is correct and there
as shown.
AO 04
Owner . gent
A LAND USE OR STR ' CTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRIT BELOW THIS LINE
>/0
are
fie/
m
rr
1
location of exis and
, (6) location of sewage s•
State License No.
5/ a 6-2— '8"Y
REQUI
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on
.y- -3' -7h
Your street address will be / F' //6 � � (iii
Sewage Permit Number Issued
this property except
Date
CONSTRUCTION COMMENCES.
Building Permit
Remarks
The zone is �
Receipt O S ssued
Form 523 Bldg. Code
- 3.3
I
0
N
t
BLAiNE JOHNSTON CUSTOM BLDG'
P.O. BOX 14393
OPPORTUNITY, WASHINGTON 99214
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