1978, 09-11 Permit App: N0512 DuplexCot% of Spokane, Washing, n
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,. -
GENERAL REQUIREMENTS PERMIT FEE
r !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. Con-
+struction must have inspections.
'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 is required. See. current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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
Architect
Engineer
Address R(9-: 13.41fit /Q72/ Phone 942 keel
Address_ Phone
Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 33 C.7.2.-'90/'�if �GG�
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—l✓DTle /3L/( / e 4.;ei.et Q.A.
DESCRIPTION OF WORK: New_S_ Addition Remodel Moving
Size of Lot %DX/Q-Q' '
Q. '���
StorieDimensions .2 JXJr� �_ G X.SD,-�.t i .2�, -� -fTotal
s
Rooms Baths Basement -ILA Foundation Const 0- �L 4Ca-
_ Full, part, none)
Heat. System .� .fir TyR�a(�/Lof Roofing Ext. Finish
.Use of Bldg. `.l r9t7 1&,j .c 1./..//./�.d i l4. .-te/
ROADWAY R/W WIDTH `sD/
Bld Zone -i FireZone3
Sewage System�ye Const.<��f/,tvu.�
(Fr., Conc., Br., etc.) O O
Sq. Ft.3
‘.,,S,�'/Zyaluatio 9D
/D OOH_I
Chimney/"" ---".Foes �'L- K -
)Kind) A.9 -...1-61
a (Number n
Int. Wall Finish N 'Cf Aar'
No. of Units Bedroom :3C
r_-/1/
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings, (4) distance to property lines and streets; (5) dimens
wpm and water supply lines.
4
RIy
NORTH
1
SOUTH
I hereby cer j. y information submitted is corre
. as shown.
and there are
road locations; (3) location of existing and
ons of buildings; (6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
-COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner or Agent D
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be,'39 /.
Sewage Permit Number Issued
Remarks -'
C
ding Permit
zone is
Receipt y7 Ri/n Issued
For,,, 521 eidn end.
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