1977, 06-13 Permit App: M1865 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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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 D
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 1nsCection.^
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
at
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ddress r l�M�-lP1Z/✓ 7rri Phone C -¢32$
Architect Phone Engineer Phone
Contractor S`CAL eft° Go/(ST,' do. Address E MY. I/P{!✓FTI 7)7,v,47.
Legal Description of Property (Give complete description from deed tax receipt etc )/Jr i O43 -08/V
Phone 924-132i3
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31,14 fr of hor % Ath-, rkg Wesr 5~5; 36 gre
r /y grl/Z//✓6rrbN rn /4/44 -4 -ii isneu Ann'Nt at:ALF GAN 'fl: -
DESCRIPTION OF WORK: New JC Ac9drtion Remodel Moving Bldlg. Zone A
X� �t
Size of Lot / d r ale ' X AD LW
� �/
Const, �2Azig Dimensions F�k.Z. 8 ' ' 6 ��•r/'
(Franoncrete, brick, etc.) ../--
Rooms 5 Baths / Basement4 "LL Foundation Const
��++ �q (Full, part, one)
Heat. System 4 FL n -air Type f Roofing t%
Use of Bldg.�S/'tr }r w/rAroi. r
Garage or Carport /Attached //
Fire Zone
Sewage Systemt f� Z Affe Stories 5S. g,
GCVO Total Sq Ft 4, 7/ Valuation 1 'OOQ
ilk-%� TF Chimney J44...6(E Fireplace 2
(Kind)•,(Number)
Ext. Fin" h Int. Wall Finish IZ?€, V14.4a
-le / No. of Units Bedrooms y'
Private Detntched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or roa• 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.
ti
NORTH
4rpelliED
I here
SOUTH
fitted
is correct
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State License No.
r3-6 -A4(29
Ind. Ins. Acct. No.'
3/1340
REQUIRED
�I
Plumbing Permit r//`�/ G/t SOK)
Heating Permit age()/e
Sewage Permit r /eV
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other struct�ur/es located on this property except
,
Owner
A LAND USE OR STRUCTU
THIS IS NOT A PERMIT. .
Date
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
zone
Tour street address will be — ��2 / �C(/%/�/yc !i �be
Sewage Permit Number / Issued Building Peit Receipt
Remarks
ssued
Form 523 Bldg. Code
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