1975, 06-04 Permit App: L0315 Duplex ,=0-1 County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
/(ro E =�EAL REQUIREMENTS PERMIT FEE ?c2
IT 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. Then 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 1114_/d C•. Y 801bis? Address Rt. '7 Phone 9,76, —67SS-
44-h 6'n
Architect_. Phone Engineer _ _ _ Phone_
Contractor D J3 t 'r
£nd. priSe-S Address .7 _ Phone 1t —0 7 67--C—
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
. 44t2__/.3 ri _V TC6C =Z__,C.0_,6 m a c c,7•*,..5:`Les - A is- .-3 --S-.Z/6
DESCRIPTION OF WORK:New V' Addition Remodel Moving Bldg.Zone___1 Fire Zone
Size of Lot /30 X %CO•/c Sewage System Sept' 'rr\K Stor'es /
Const. _ Dimensions 7t. ik A 1 CQ.—, Total Sq. Ft. Valuation J Oc.,
( Fra ,concrete,brick,etc.) �6 fC
Roo Baths Basement ,e1 Foundation Const. e.0 ii G' (',f EChimne/kL o n ry Fireplace
__CQ-C.--/,— _....n ' (Full, part, one) (Kind) (Number)
Heat. System of :-.ofing G F-t Ext. Finish C "sai Int. Wall Finish Arra/ /
- ' �C=-r: , — — u- Bedrooms reQ--ci
Use of Bldg. _==_y=-� -" -�� - -'� � No. of Units
/
Garage or Carport Attached .0"yr -1,r !el—rti. �. Private Detatched
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PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
1 oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
Ck-/Oi_
State License NO2._.a,3 c/- /44ivi
Ino. Ins. Acct. No.
,1 7 -0z2__ _..eir.05/.2 6,/ ,
4 REQUIRED
N ,%1
'4'r Plumbing Permit �� (�" ��/�Q
m Heating Permit ///-
cm '. ti Sewage Permit
.4 -4
I
_ Plans Received
-
cPlans Checked
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i• Plans Returned
r +
Plans Picked Up
/00.&( z 1 .t' Plans Mailed
6 UTH
I hereby certi y i ormation submitted is correct and there are no other structures located on this property except
as show . 1,
Owner or Agent Date
-6//A C--
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6,-34_.) 4, ,,o DO NOT WRITE BELOW THIS LINE
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Your street address will b �j 7 -- 7 L .../;7240-'� '.a....._—'le zone is _ ' .44......o. $'
Permit Number Issued _ Buildi•Or.
0 /Receipt 7 e 7 'sued
Remarks
Form 523 Bldg. Code