1977, 04-04 Permit App: M0762 DuplexDuplex Job # 108
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Cloy of Spokane, Was1gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ..$ 3-.-5Q
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 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
Name of Owner Robert A. Long Address E.11922- 25th Phone 924-4782
Address Phone
Architect Phone
Engineer Address
Address Phone
'
Contractor
Same
Legal Description of Property (Give complete description from deed, tax receipt, etc
ea Parcel # 20543-9027
Lot # 18, Blk. 1, Sherwood Forest
Moving Bldg. Zone 1 Fire Zone 3
Sep Tank onst. Frame
(Fr., Conc., Br., etc.)
DESCRIPTION OF WORK: New X
Addition Remodel
Size of Lot 90 x 135
Stories ._Dimensions 26x76 , 24126
Rooms 5 Baths (Full,B Basement
pat ntnou11 Foundation Const
Heat. System R R 1 1 PO Type of Roofing 5111P lre:
Use of Bldg. T)uplex, attached decks, and garage
Sewage System
Total Sq. Ft 2840 Valuation 65000.00
ChimneyMa SOnl"'Yireplace
(Kind) (Number
Int. Wall Finish Sheet Ronk
Concrete
Ext. Finish 911 -1 1
No. of Units 2 Bedrooms 3
gr,
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 E
SIDENTIA
COMMERCIAL
See attached plot plan
State License No.
L0—NG—*R—A246R0
Ind. Ins. Acct. No.
327-551
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert nformation sypmitted iorrect and there are no other structures
as shown.
ner or Agent
A LAND USE OR STRUCTURE PERMIT MUS BE ON THE PREMISES BEFORE
THIS IS N A PERMIT. )77 ,�
DO NOT WRITE BELOW THIS LINE
Your street address will be it)7 ,c'i,vt Y►c c� v
Sewage Permit Number Issued Building Permit4 676 a.
Remarks
Date
CONSTRUCTION C� M CES.
located on his property except
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Receipt 3 r Issued
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