1972, 11-02 Permit App: J4920 Duplex .. ,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 15- e c)
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 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.
,y APPLICANT FILL IN BELOW THIS LINE
Name of Owner t.1 e' /C_.O "'" - Z-41-"? Address e ./w.t 664/ 4s 1.1.. Phone 9c)f''--.'S-7,16Architect Phone Engineer (/ Phone
Contractor,-LOQ--,-r-G...- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
iT y SL-OGK 7 6-ALE s re e t/LLS I1L-`/GI/TS Ac).7•
RA/. 3.x.5 df/- r `#
DESCRIPTION OF W2RK:New (/ dition Remodel Moving Bldg.Zone / Fire Zone ..._.3�
Ad
Size of Lot /AO X /S/‘•
Sewage System .S .P7/C.. Stories
Const. PE4in(L Dimensions go'X.cad/ '111'c,9 )e a. Total Sq. Ft. -2.-S'yy Valuation itDO✓•
(Frame,concrete,brick,etc.) /� Q , /
Rooms Q Baths�_Basement .�t.'G°I Foundation Const. CO A/C' • Chimney ,e C�3L Fireplace c
(Full, part, one) (Kind) _ //� (Number)y�/
Heat. System if Type of Roofing i�"'`'`•- 4 Ext. Finish,.,a<2,014/4/' Int. Wall Finish •401�.4ft-..tt'
Use of Bldg. /L„,... F ,�,/ �..(�T No. of Units v . Bedrooms 'f/
Gar• ,e or Carport Attar ii4.T11 d-11+ Private Detatched
1i ' PLOT PLAN
Draw .•tch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed ..ildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
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QInd. Ins. Acct. No.
�` ' icrxzs•- a;:.' — mss,
GONG
Id
' J
`) V REQUIRED
Plumbing Permi -,
I t-25'- ��ii
m Heating Permit C.2 -.'9-
to b OO * 2-i Sewage Permit
0
F Plans Received
9' Plans Checked
_� f2 •_� /01,04' S Plans Returned
f 72.* 2 i Y coNR` Plans Picked Up
b
Plans Mailed
SOUTH
I hereby cerif infor i submitted is correct and there are no other structures located on this property except
as shown. t ,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION ,OMMENCES.
THIS IS NOT A PERMIT. (. '
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(5-i14,111/0,4 DO NOT WRITE BELOW THIS LI, of_
Your street address will be r .3 ...)0 6 � 3 ? _ / , e is 2C'; r--
Sewage Permit Number Issued Building a it / Receipt ssued
Remarks r Q
Form 523 Bldg. Code