1972, 09-12 Permit App: J4376 Duplex Amisminmaimplimift
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4
GENERAL REQUIREMENTS PERMIT FEE Y7' 64'
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ♦ i 11 1 k i . r •ddress /1 .'Jr •'p `°' Phone i9 —6 — 41.r9,4
`er�
Architect Phone Engineer Phone
Contractor / " Address Phone
Legal Description of Property .(Give complete description from deed, tax.receipt, ,etc.) 3� .xy. _070 7
�`A L--,-, J — 1�iC.r^.'is e_/-' I _.. .f 72r'„!' .f , ,„:,,,,,,,, 7-:z, . ...e
DESCRIPTION,QF WORK:New_ !/ ,A^�ddition Remodel Moving Bldg.Zone .yl. Fire Zone
Size of Lot A�8 X p �l�✓ Sewage System GQ"x e',£ftori Z-1
2 , 1� Total Sq.Ft. yet...e)
$t Valuatio ;3 Jr6}f)
Const. p���p���r�- Dimensions �/� !� ``
(Frame, trete,bricktptc.a� �Q )
Rooms Baths A y Baseem"e�nt ''''/ Foundation Const. r d ''; -' Chimney ireplace
(Firth, part, ne) (Kind) 1 ( u}nber)
Heat. System .�. «> r/iType of Roofing / 'e Ext. Finish -1 t. i e ) r rp Int.Wall Finish (',
/ z ' T
Use of Bldg. --2 x.21 e'r ' ai e.i C --. '''-e--:/,F r ) No. of Units - Bedrooms ,, —
4.af;z4.444/____
Y /7e_ .
PLOT P N
reet or road locations; (3) location of existing and
Draw sketch with dimensions sh• ing: (1) property line (2) st
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
f 2 ...,,State License No. /
C., � t
/ 0-3—
CO Ina. Ins. Acct. No.
c5
/ REQUIRED
C-- �/ Plumbing Permit •L
mHeating Permit -.A• - - ~
en
u T g N Sewage Permit i I -- /`'
Plans Received
” Plans Checked
�# Plans Returned
lr� 4 Plans Picked Up
`I _'
.9/71/ Plans Mailed
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SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. i
III . . . - ..� A' A �s..- _ . . _r . ., s
Owner or Agent Date
A LAND USE OR STRUCTUREPE' .' T UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMIT. ' `
L 1 0 NOT WRITE BELOW THIS LIN , ;
�.�,. l( IJP . _1 rorrawdr
Your street address will be . . t _ 'r-.—,.1 ,.. 0e zone is ........,0-,/,........,0-,/, - - - I./ .
OH Sewage Permit Number Issued ' Buildi1: Peet 4 Receipi Issued
Remarks 2�
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Form 523 Bldg. Code