1977, 11-08 Permit App: M5074 Duplex „ ,,e5.,.
�'� County of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT -7 is
GENERAL REQUIREMENTS PERMIT FEE
tPERMIT 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
lIt 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
ethe surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. a
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
I 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 DM ;k1:3 B4.t.•i J of i1-�1 q; 111.10- Address 'i. ' ` o_a- ii %` ‘,"'=1.1 Phone � �"C'',3 •
Architect Address Phone
Engineer Address Phone
Contractor .'l't Yr Address Phone
Legal Descri tio�nyo!f,-Property (Give complete descn tion from deeds,tax receipt,yetc.) Parcell Number . ��`Sy+3- 0
JJi.12,is f'J�) ' C . ...:r / .+1I tt-c;£.- i�if JQ 1...0 l,ef --1,et vz lr ry. /✓5-5.. rj`7
.2k.”/Le-i c' a:
DESCRIPTION OF WORK: New .-'"V Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot C' A / -.45'f Sewage System a'p a't-. cConst.CF'''
re
etc.)
Stories_Dimensions 4.744A 4.= Total Sq. Ft,-T.3.Ch/2i Valuation 4,2 qJ-Ce'er 1 .
Rooms 1 Baths -2 Basement tc.I.// Foundation Const.C.`Yl 2 rF.t c°-.. Chimne��ti SG i Y Fireplace
/J'e't Full, part, none) (Kind)" (Number
i Heat. System F.' ee•tq Chi Type of Roofin9"7� z- Ext. Finish 77- '1 Int. Wall Finish riyi-clfh. ii
I Use of Bldg. c -4r a.71—e.r-, -e--"-, + res>, - No. of Units ra�Bedrooms 4-4-,
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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 State License No.
Die'. ate-Z_ -.N3/3
Ind. Ins. Acct. No.
of 4
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'`y` RESIDENTI'AL-COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
in
..T
N c- N Sewage Permit
.4 -- t 2i', f'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
A Plans Mailed
I
SOUTH
I hereb ertify information s bmitted is correct and there are no other structures located on this property except
as shown. e e
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9/x..., ?41,0i2,� DO NOT WRITE BELOW THIS LINE 4 , i )
Your street address will be .> /() 0 o - Ci '? 7)1(:(7,--1-1--, -ieThe zone is 04 (-(:(.. .l.f fi/-/Le.
Sewage Permit Number Issued Building Permit Receipt O.S:e.-O Issued
Remarks _ .. ,. f� MON'
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Form 523 Bldg. Code I` /�
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£;a _ Description
for D & B Building Inc. , c
Job No. 1109 kx
-) i- aer 10, 1977
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