1977, 04-19 Permit App: M0689 DuplexC!nty of Spokane. wasIgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 _
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
. GENERAL REQUIREMENTS PERMIT FEE .._.LJ��`
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 suppty 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
Higp ny,..ciearance 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.
T APPLICANT/FILL IN BELOW THIS LINE C
Name of Owner lt�%l�j ✓(%J�✓%/�f' Address $,90 /flt�/`3 SPP jt�// Phone 9c2'// ?23
Architect Address Phone
Phone
OPP, 95 Phone
Engineer
Contractor
52U4vsno /
Address 134e-
�
Address 8,4 /x3773
Legal Description of Property (Give complete description from deed, tax receipt etc 1
5i'sz 4rn9c#1- j S t
14-, 54/2 ` 777/7'
DESCRIPTION OF WORK: New X
Size of Lbt fo is /
Storie
Rooms
0
Addition
Remodel Moving
Se a
OA /V�
G -
Dimension(/9X2
Baths / Basemen
���II (Full, part, n
Heat. System Gtr, t Type�rI
y of Roofing Ext Finish ///RAN/Z7.-
Use of Bldg. adc/0/4' /¢�ZWc0 '7/i'.e4-6c
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.
nal d'�� 'Foundation Const
Bldg. Zone / Fire Zone
ge System 55/1776--- Const.
�/ ,[ (Fr., Conc., Br., etc.{
Total Sq Ft �/27 .Valuation 5 /11D
Chimney�KFireplace a
(Number
Int Wall-Finishlioy/.v,4zc,
No of Unitsl Bedrooms
N
-I
NORTH
RESIDENTIA COMMERCIAL
SOUTH
I hereby certify information submitt d is correct and
as shown. / n
State License No.
:JONA/vs4 333C-7
Ind. Ins. Acct. No.
/-o&2--q't/S`
REQUIRED
Plumbing Permit X
7Z/
m Heating Permit 51S`LiG6
Sewage Permit i'0621--
Plans
'0OV
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
9-79-27
Own/or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
/f. 40 NAT WRITE BELOW THIS LINE
4-7,
/O/�
Your street address will be
Sewage Permit Number
Remarks
/so /6
.0.7—
Issued Building Permit
The zone is
Receipt
ssued
Form 523 Bldg. Code
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office of the auditor'Of Spokane County, WaShington. •
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The#portion of the South 90.00 feet of the North 180.00 feet of the South
North I of the West i of the West of the Southeast / of the Northwest
14, Township 25 North, Range 43 East of the Willamette Meridian which lies
the Noi-therly prolongation of the West line of Lot 6, Block 3 of the plat
Fifth Addition to Veradale-Heights on file in -Book 1, at page 100 of.plats
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BLAINE
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