1977, 03-01 Permit App: L7191 Duplexti
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT nu 0.).>
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
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 bases 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.
�n d�AA'' APPLICANT FILL IN BELOW THIS LINE g9o2 3
Name of Owner {Zui�a �� nG/ / Address
/Uti /SOX S7C l/f! < MJ'hone Q078 -47R3
Architect Address Phone
Engineer Address
`
Contractor ' a.. wit« Address
Legal Description of Property IGiv complet ascription from deed, tax receipt, etc.)
nri 7 -8 Ft�- 6! A> /90.5
Fermi-
in Ifni" :diel Yet -54 A-!4,/ x.,49
Phone
Phone
DESCRIPTION OF WORK: New V Addition �n Remodel
Size of Lot /04 _57 >K f /2 . 2 It --
Moving Bldg. Zone Fire Zone ..!R°
Sewage SystemV&l11
Stories Dimensi��oxxns y1 x ? 2.
Rooms Baths •z'� Basement /w'o��Founda ion Const �y�
AAA nish / j_it Int Wall�{
No of Units Bedrooms 4
r� F�ulll, part, no el
Heat. System E!. nf` Aire of Roofi,.
USe of Bldg.
// Q (Fr.. Conc., etc.) ad) Total Sq Ft /+o'DValuation9• nd0
%e-reorr- Chimney\A On t. Fireplace ,•ir4 ii
(Kind) k (Num -, !
Finish �j�r f� 6 ,
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. (
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I hereby cert'fy in
as shown.
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ormationblliee
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is correct and
State License No.
'/71
DAL&i - ",g --C, z (OL.15
Ind. Ins. Acct. No
07 to -450
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
re are no other structures located on this property except
Owner or At
_ ".t Date
A LAND USE OR STRUCT �E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES,
THIS 1S NOT A PERMIT.
(9-44L 1 'L4t t D
DO NOT WRITE BELOW THIS LINE
F
Your street address will be
The zone is
Sewage Permit Number�� Is:ued, Bu ding Permit - Receipt - ��
Remarks �►'w7i7,;. / � /C /
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4 -
Issued W
W ti a
Form 523 Bldg. Code
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FOUND MONUMENT
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SCALE /" = /00' •
_ /RON P/NS OR MONUMENTS FOUND
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• FOUND P/N
SURVEYOR'S CERTIFICATE
THIS MAP CORRECTLY. REPRESENTS .A SURVEY MADE BY
.ME OR UNDER MY DIRECTION IN CONFORMANCE WITH THE
REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE
REQUEST OF Dan O'Connell
' I N' Febnaxy 19_ 2
(Signed and SealeO
• Certificate No.
7580
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