1975, 07-24 Permit App: L0940 Duplex County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7g-
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 y
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
S :GE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
ISE -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at Z
let 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STA 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 c
Name of Owner_2-2
, lys /aLwwvrn41. .4 '1 Address Phone 5'3 T/-ey4-1
Architect Address _ Phone
Engineer Phone
Contractor A,(✓r.4 Address )eZ 7/G F t_,,,:.- Phone 1 4/'9 123
Legal Description of Proper (Give complete description from deed, tax receipt, etc.) i,•wn-.z: 4 2 /Sly V-2- 4 /k 7
.--$liA dit i �L L,/,:._- e.,,f
DESCRIPTION OFF WORK: New i Addition Remodel Moving Bld Zone / Fire one ---5-
Size of Lot /Gra X late' Sewage System '` ConsCo , Br,,a c.)
Stories Dimensions aleX 77,4.415'2 X 7 ,1 41• ') 7 Total Sq. Ft.�7' 3" Valuation s-1` J'v-+r
Rooms f Baths f' Basementh� Foundation Const. h;vC �`,�/ Chimney Fireplace
(Full, part, no ) uett rx (Kind) y (Number
Heat. System / ,A, a . �/ Type of Roofi g 6'1'1t Ext. Finish Int. Wall Finish --1-1-.6427-4-C-1,-
Use
-6 f._zc27--C-1,••
Use of Bldg. , �rl�G•8-:,.rt i� e? No. of Units a Bedrooms I.
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-
m and water supply lines.
NORTH State License No.
(c� \ ,,7,a-3-61` 02 =S' 3
Ind. Ins. Acct. No.
C 9 /—c4,'— r',. s-
a.
U A
_ REQUIRED
r
�„e,,p C ,A t as Plumbing Permi
m
- - _I J - m Heating Permit ' '
to , A% tes N Sewage Permit
1-- a i -i
{ 7 t r .3 ---
3 s --->‘1 Plans Received
1 Wif:•- 1 v c Plans Checked
Plans Returned
ss I ' '' Plans Picked Up
Plans Mailed
/ fit' 4,,
1 SOUTH
{� hereby certify information submitted is correct and there are no other struct es loc ted on this property excep)
as shc�yn.
j Owner Age Date
A LAND USE OR STR T E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
L9. . 24,t,,4/2., DO NOT WRITE BELOW�/ THIS LINE .
Your street address will be 1/G S '( /1.4.4.......\77,
, f'v w1Jw� The zone is
Sewage Permit Number Issued Building Permit = Receiptee /
Issued
Remarks .
, _
`j • 64... I:70 7
.
Form 523 Bldg. Code
,26-rte-"til.
l.
All that portion of. the N. W. 1/4 of section 14, township 25N.
Range 44E, WWM in Spokane County, Washington. _
More specifically described: �--
Beginning at the N.E. corner Lot 1, Blk 2 5th Edition to
Verdale heights according to Plat recorded in Volume 7 of
Plats, page 3, Spokane County, Washington.
Wildon-Reathell-4egcees-1-minute-along—the-West-line-e€
Thence North 0 degrees 1 minute along the West line of
Warren Foad shown on said map and its northerly extension
there of a distance of 160", thence 89 degrees 54 minutes
West a distance of 128", thence South 0 degrees 1 minute
West 160", to a point on the North line of Lot 2 block 2,
5th edition Verdale heights.
Thence South 89 degrees 54 minutes East along the North
line of Lot 2 and 1 respectively of Block 2 a distance of
128" to the point of beginning. .
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