1973, 05-22 Permit App: K1768 Duplex County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / e-
GENERAL REQUIREMENTS PERMIT FEE
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 BELL�. �JOW THIS LINE
Name of°Owner . : .G + - •ddress V f2d `,e P Phone/�7E.s'7g
ArchitectPhone Engineer Phone
Contractor j'(*A,L,� j�O n 0W.I'" C. Address ,if, 7O¢ ae/R,V2K '27,?/445 Phone W4. 4145,26 528 '
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
i'o> t/O ' it 9 IA) /0,6OOA' #/U cif6,eW714G /.3A/c"
43)`.t), -- .I° .,i. s. j S , .5—.3 - — 62, 70
DESCRIPTION OF WORK:NewX Addition94-) Remodel Moving Bld .Zone ! Fire Zone
r� / :3 3'./D Sewage System - . Stories Oil
Size of Lot a � - g Y ![2
Const. 4,cff Dimensions f_ -I' ' --z4-e--e_�"�t Total Sq. Ft. a to Valugtion- L
(Fram¢,concrete,brick etc.) '1,Q 8i 6 6(�
Rooms' Baths Basement Foundation Const. OA)Gi2 7 ' Chimney NONE Fireplace Z-
22 (Full, part, none) �`/ (Kind) (Number)
Heat. System, La,/14SAQrype of Roofing /..'[iiL4'//� Ext. Finish kfik91� Int. Wall Finish YI.UALL
Use of Bldg=/i.)1/77i.fr....)( u y 6-;�/L�14 T No. of Units Bedrooms 4
Garage or Carport Attached // 6-4f27' Private Dego ed c 4.1a dt--a..i q
_ PLOT PLAN 'G'
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.
3 J / State License No
NORTH
0 s 6) Z,33 - 0/- 34Z17
I,) Ind. Ins. Acct. No.
5
/ ,
�
j y ` , ffI�egSREQUIRED/
Ino'/ � KJ Plumbing Permit OAJ
in Heating Permit 13d/L ^fLS , L,EC
m a
tm N Sewage Permit 4.)6fl
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I '- .`i • n orma M • .uitte7 is correct and there are no other structures/located on this property except
own. G .� -1►�� 4 •/tel •. I Al .' �1
Owner or Agent Date .
'A • D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. •
• THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be' //y g- / ( i/ The zone is (7-/1-c- ' 2/,1-
Sewage Permit Number Issued Building Permit Receipt- 5Issued
Remarks 216 i
form 523 %Idg.
CERTIFICATE i
s.
i I certify that I have surveyed and staked all of Lot 10
and the West 40 feet of Lot 9 in Block 10 of Central Park Addition
in the County of Spokane, Washington as shown hereon.
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11. _ .;a0 TE CAMERON
Professi. al Land Surveyor
NE C44
Scaler° Const. Co. ��� `oF dvacH1'''oi,
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E. 7804 Upriver Dr. t _'� '� n
Spokane, Washington2.
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