1972, 04-17 Permit App: J2842 DuplexCounty ®f Spokane® Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast 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 I
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGdWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and {.ogress
and egr•?ss.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must e
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.
RES'T'RICTIVE 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
614-15
�� ` /�.�� 5i E. Sf'.�A4 /�r'� Phone
Name of Owner 1 n 61 S.� � Address _ , ,
Architect Phone
Engineer Phone
��„/.� _n/J�f�
—
Address /3s' 5/ F SOiPfI4 riy� 1Phone
Contractor �qyp� G!!l�SfToer L-0-
Legal Description of Property (Give complete description from deed, tuna receipt, etc.)
Bldg. Zone Fire Zone /�•
DESCRIPTION OF WORK: New X Addition Remodel Moving Stories
Size of Lot'/ �C �� �� Sewage System
` h4 ,C R6 ' x .tea Total Sq. Ft. Valuation
Const. Dimensions .;�/ X
(Frame, 6ncrete, brick, etc.) Lf — Fireplace
Rooms Baths 6_ Basement Foundation Const. (dLm c CSC ! <i Chimney (Kind) (Number)
(Full, part, one)
Heat. System e �+q rt Ext. Finish ((% d/�� Int. Wall Finish
��p /` C. Type of Roofing Bedrooms �—
No. of Units �—
Use of Bldg.
Garage or Carport Attached f�
I -A4 e d /"`fit' ��'�' Private Detatched
PLOT PLAtd
ns; (3) location of existing and
Draw sketch with dimensions showing: (1) property lines; (2) street or road locatio
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage Sys-
tem and water supply lines. State License No.
rn
I heret
as shown. /-
NART14
S6/
::jInd. Ins. Acct. No.
REQUIRED
N Plumbing Permit
rn Heating Permit _---
A Sewage Permit
Rn
Plans Received _--
Plans Checked --
Plans Returned
Plans Picked Up
Plans Mailed —
11t /le,hu�OUTH ��
certify information submitted is correct and there are no other structures l/ocated on this property except
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LIH E
Your street address will be
Sewage Permit Number
Remarks
Issued Building Permit
The zone is
Receipt ? " aed ----
'-
-» North
^
Wes
South
.. `
$20,960'00
936 sq. ft' Upper unit
864 Sq, ft. lower Unit /
Z Bedrooms each unit
East l Bath each unit
20/X22/ attached carport
No Fireplace
/ -U-
-O- 81
Lot 7, Block 2, Patricia Subdivision
Tract 71. Vera
�21 121
12 12'
LO
M 12
Basic 201 .-15 Floor Level +63 carport
`
French Hip
^5
CD
`-' U -z ' �
�.
~
� .
-0- 81
Center of Street -O-
r
4th Avenue Level Lot
, '
/paY�d\ Curbing
'
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