1972, 07-25 Permit App: J3840 Duplex• 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
-APPLICATION FOR LAND USE OR STRUCTURE PERMIT
UD
GENERAL REQUIREMENTS PERMIT FEE /7
PIT 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 mast 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 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 �,�v«.-4-t
Name of Owner ._,,s L/v`� Jori/ STnit/ Address 126:4,L( S/-10-1& i-'/_ Phone VS 6 70t
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Alt(E L 5 J`-4/ 4-(- 0 7 o `f
L'T 7 l'LK 2. 6 L Ilii -Ail A . LL)z67 1-10 4Lf= 7' cic // 7 a-(' (J'c.e_.y . .Sjc9.=rte ✓C
q1-72 / C.
r751 W x .' es-(
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot '11,701 X
Moving Bldg. Zone
Sewage System SeW 7 cc
Const Fi 4iire Dimensions 2 i 1( 3"3/2"x id/..Zx 2y
(Frame, concrete, brick, etc.)
Rooms Co et; Baths Z Basement c t Foundation Const ..31.-u. ,, Tc
-
(Full, part, none)
Heat. System ti rc.- /3- N Type of Roofing
Fire Zone
Stories I PZ
Total Sq. Ft. 2310 Valuation .10 c- '
/v't)
Chimney %r k1. Fireplace /1%..
(Kind) (Number)
Int. Wall Finish 5rIEcre!ocK
Use of Bldg.
Garage or Carport
ttache
(19 wt aA Ext Finish sN H Jam r 1 F
2 F0464 -1 c& Y hCS i c)e i- G r_
r
t
Crt=
Priv
No. of Units 2-- Bedrooms if
e Detat(hed
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.
m
NORTH
See A ttt•€c(C. 0 AO i /-'L /4A-1
I hereby certify informs
as shown.
Owner
SOUTH
su.mitted is co
A LAND USE OR STRUC
THIS IS NOT A PERMIT.
r
Agent/
m
State License No.
223 -01-(z53
Ind. Ins. Acct. No.
�/ -uG-B - ye9.3
REQUIRED
Plumbing Permit
Heating Permit —
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
o other structures located on this property except
7/2x/772.
E PERMIT MUST BE ON THE PREMISES BEFORE
DO NOT WRITE BELOW THIS LINE
/
Your street address will be °C'-, a 70/ l(C 6, be
Date
CONSTRUCTION COMMENCES.
Sewage Permit T.bei'~ Issued
Remarks ,Ik)„e,,-c_ce-i.-f-tz r L lZ(•c
Building Permit
The zone is (,4f/�-L. i'
Receipt 8'41 22 Issu .d`f
3
Form 523 Bldg. Code
X1.70 4
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