1976, 08-03 Permit App: L5163 DuplexCantof Spokane, Wash ton
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 965
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
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
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Name of Owner Q � .e���� 5i Address %7—_.. /yl daPhone .9.2 )"CJ
Architect Address ' ZL)G Phone
EngineerA- Address Phone //
Contractor b,9 ' n , - . . Address S. 7! f �7 2e �
Phone 4d4
Legal Des , of r_ Qperty (Give ompl _scrip_ deed, tax receipt, etc ► r
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DESCRIPTION OF WORK: New _ Addition
Size of Lot /RrQ,&c
nig/vn..I
Stories i Dimensions
Rooms -7 Baths Basement
(F/Full, part, none
Heat. System 8 L? Type of Roofing
Use of Bldg.
Remodel
P1-#4?)
114412e6_o Q.5-4/ -a a R
Moving Bldg. Zone f Fire ne
Sewage System Const. '-4--
(Fr., Conc., Br., etc.)
�-- .� no.tal Sq. FtrC d Valuations �4 a
Foundation Const. �e��tp�r Chimney Fireplace
(Kind) (Number
Ext. Finish
Int. Wall Finish
No. of Units S.,SedroKms
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.
F SIDENTIAL,- COMMERCIAL
NORTH
SOUTH
State License No.
=3 -01 -43O -4P ---z. z 3.z.Y"
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit )) t' l
rykj
NSewage Permit liv(.1�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are lyo other structures located on this property except
as shown„_,
Owner or Agent
x//76
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
4.
DO NOT WRITE BELOW THIS LINE
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Your street address will be o27 / /Cs
- ! pJ The zone is — �✓� g_4( .
Sewage Permit Number Issued Building Permitto-763
Receipt 2..(o -25-Issued
Remarks
Form 523 Bldg. Code
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