1979, 03-19 Permit App: N2257 Duplex9
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. (later 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 BEL�OtW, THIS LINE
Name of Owner ' �r } � A A V &!1CX��ddress 9-&Q u.'-.. Phone la V.
Architect Address Phone
Engineer Address Phone
Contractors Address— Phone
Legal Description of Property (Give complete derscription fro
�ee , tax receip , etc.) Parcel Numbery"W 44Z"'
�L 1�..1.,D ._ i
ROADWAY R/W WIDTH 5i�" DESCRIPTION OF WORK: New '� Addition Remodel Moving Bldg. one —� Fire Zone
Size of Lot ��Q�L��► p Sewage System �" Por., Br., etc.)
Stories, Dimensilrs� 6laR�AE.Uidy4k?� b100 JAS Total Sq. Ft. Valuation $5,�
Rooms � Baths Zasement Foundation Const.. C o OQ�- Chimneyy fireplace
Tru -1,13, part, none s (Kind) (Number
Heat. System FI� i Type of Roofing �w►A Ext. Finish -r{ )l Int. Wall Finish
Use of Bldg. No. of Units! Bedrooms it
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.
NORTH
S�,' -- f _rAt t�X
N
Stateicense No.
V&
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
30
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here �r�ti tion�submrij/�/���7d is correct and there are no other structures/��located on this property except
as shown. \ \ = 1t'.'/ ■ 1. w "A
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS OT A PERMIT.
� DO OT WRITE BELOW THIS LINE
Your street address will be The zone its
Sewage Permit Number Issued C Building Permit Receipt I Is ed
Remarks - E� U ` L.. Z Z& 3.41 %-1 1, o-4 A&>"- �r
Form 523 Bldo. Code
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West Valley Excavating4A
Mike Bascetta — Joe Bascetta
S. 812 DISHMAN RD. ■ SPOKANE, WASHINGTON 99206 ■ PHONE 924-5130
■ WATER LINES ■ SEPTIC TANKS
■ DRYWELLS . LAND CLEARING
■ BASEMENT DIGGING ■ FILL & BLACK DIRT
■ PATROL GRADING
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