1977, 04-19 Permit App: M0688 DuplexCloy of Spokane, Was*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 01•
PERMIT FEE
GENERAL REQUIREMENTS
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 Get. -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 SO 924/e- 0/7•4471,5?•(' Address gi)G Ai &2r3 or/r 7%44
Architect Address Phone
Engineer Address /�!� Phone !,'
Contractor S -t%� ,JCJf4St� 5 ;nu Address — / U re le'' --1/Phone /.?4 f2 a?
Phone 042*%2-23
Legal Description of Property (Give complete description from deed, tax receipt, et
iyc,c yrd�9v9
564 ALYlcrfrD fT
DESCRIPTION OF WORK: New X Addition
Size of of
Remodel Moving Bldg. Zone ( Fire Zone)
Sewnge System 77L (Fonst. - '-�'n
l / ,� \ . /� Val, tion Br., etc.)
Stories (L Dimension�yr7S1H/i/X-75e.'�ri 6:W0)634Total Sq Ft �7�T Valuation '�O, �a
Rooms T Baths Basement A/ONL Foundation Const �-0. - Chimney/j'11713G Fireplace z
Full, part, none) / (Kind) (Number
Heat. System
Type of Roofing Css'�--gyp Ext Finish . 7'i ". - Int Wall Finish � wx%'1�-
Use of Bldg. D'.l f��,j( /41- i�-p*/o r/ /d1SS No of Units 2 -Bedrooms 2 ---
PLOT
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
RESIDENTIAL — COMMERCIAL
5E4_ 4tttiving -_
SOUTH
I hereby certifyinformatiosubmitt-d is correct and there are
Owner .r
as shown.
State License No.
.1ON.IdSS A -333z 7
Ind. Ins. Acct. No.
TY -0A8 119S—
REQUIRED
Plumbing Permit ert(
w Heating Permit 5,72//$13C-4-4
a Sewage Permit GIJn/ G
M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
t/9- 77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
rpt
Your street address will be
Sewage Permit Number
Remarks
i
,,DO NOT WRITE BELOW THIS LINE
%ceK
Isan
The zone is
Building Building Permit Th O&9/ is
Receipt K
clime d
Form 523 Bldg. Code
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That portion of the North 90.00 feet of the South of the North 1 of the West I
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: of the West 1 of the Southeast 4 of the Northwest 4' of.Section 14, Township 25
North,- Range,43 East of the Weillamette Meridian which lies West of the Northerly
Y
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,,. porlongation of the West line of Lot 6, Block 3 of the plat of the Fifth Addition
' to Veradale Heights on file in Book 1 at page 100 of plats in the office of the
auditor of Spokane County Washington. '
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