1978, 09-20 Permit App: N0668 DuplexCounty of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT /,13..73.�
GENERAL REQUIREMENTS PERMIT FEE$'�`t/
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 most 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 47235.
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
Address 42,5. 7/ 7 /- J.4/ �Jh
Phone
4Q •.ar
Architect U Address Phone
Engineer ) ""`6 Address Phone
Contractor Address Phone
Legal Descn of Property (Give co plete description from deed, tax receipt, etc. Parc Number
"pnA p /J 4t J 0 2,1 -VI,/ — VC
L o t" v 8/oct / cy/iJ.'/i
DESCRIPTION O WORK: New Addition Remodel
Size of Lot y Ji / �l • l .a ,c17 �.0�1
Stories . Dimensions a/i% 1A( 20 <� \
Roans '/ Baths Basement /�,__�' Foundation Constst
/ Fu I, part, no
Heat
"""--
Heat. System _E� A B ee Type of Roofing
Use of Bldg. i k i
jr
g2(K it i)
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.
Moving Bld Zone Fire Fire Z
Sewage System .jG1� 22C) Const.
(Fr., Co . Br., etc.1
Total Sq Ft 3360 Value on .S'S, d -Bp
/9.1)2,17/u --
� Chimmey Fireplace
/1 Ent Finish
_- d-7 7-//
,40
PLOT PLAN
(Kind) A , (Number
Int Wall Finish /i/L//�//1/.LL40L- -2
No of Units&BedrocM,s
m
N
NORTH
SOUTH
I hereby certify information submitted is corre and there are no other stru
as show
y Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Ind. Ins. Acct. No.
pulegD
Plumbing Permit Q/f � i
Heating Permit LCCA
Sewage Permit G/�d? / e
OMMERCIAL
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctures located on this property except
Date
CONSTRUCTION COMMENCES.
Your street address will be p
Sewage Permit Number Issued Building Permitfy O/�i Receipt FOS -3
Remarks
7�• 2/9_, / R °gyp: Jett The zone is 2.742.1tL
Issued
Form 523 Bldg. Code
V
70
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76.43'
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ed,t,/ ./11 Cori 7- /441/9/1