1972, 07-18 Permit App: J4045 Duplex County of Spokane, Washington ..„... ....—,
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99901
Y ' G
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ..T
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 couform with the
Spokane County Building Code and Zoning Ordinance. Construction IS 0010Ot to inspection.
WATER. Watar simply must he approved by the County and State Health Departments_ where work on Rater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the county Engincor's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-pack 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-bank and ingress
and ogress.
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 cheek 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 i /p_ ,c.j, c/9 Q1 ,
Name of Owner ALAVA'Or JOHAirT'pr' Address E 1,ZL,QW CPRAGKE Phone 928 7Oo
Architect ?hone _ ngineerphone
contractor AddressPhone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) AWE& it-
'THS �_11_9__ Q F 7Y-Ir E /_S''/ ' 0-e Ld 1 7.i 41E4- -
/ _Acan54;14:,_ _-__ . NazwiF__wirls#I4,..._- - If_ , ,
DEscRiPTIQN QF WQRI{.New / Addition Remodel Movint r3idg.Zone / Fire Zone
Size of Lot 1 TAl' a' et,Si*" sewage system rEta TI i-.. Storks
Const. F.14 _till Dimensions __=G` X L(. +' 5o'k(r fY"f/N M Z(r" Total Sq.Ft. 2 75 7 Valuation'!1Y15 ea la
(Frame,concrete,brick,etc.)
Rooms Cc► Baths l' Basement FULL Foundation Comet, c.901i+Cil a TW Chimney /ila4Se r Fireplace
(Full, part, none) (Kind) (Number)
Heat. System F L eerie'C Type of Roofing tkit24/21. 1ft.Ext. Finish rti 4S6n/i rg Int. Wall Finish s�IEeT I t)CK
m
ease !loo '
Use of Bldg. QIA.f3LLr 44,y No. of Units � Bedrooms
Garage or Carport Attached .SA'0-1-g 664124&E (7W ) Private Detaitched
lav 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.
223 -O1 - 62.5.3
Ind. Ins. Acct. No.
9I- ob8 - lags—
REQUIRED
Plumbing Permit
----
m Heating Permit --
'" a
IA y, Sewage Permit
-1 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
5� AteT pL,4�_ Plans Mailed
SOUTH
I I hereby certify infor%•• i•n submitted is correct and there are no other structures located on this property except
w as shown. ,
-
7//eV7Z
Owner o \ Date
A LAND USE OR STRUCT I 'E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�� ice, r DO NOT WRITE BELOW THIS LINE
C, '3L /,-a. . `',' ,; /
Your street address will be a zone is( �-g/Jt-f.-GC.t4� .-
Sewage Permit Number Issued Building Per,, . 1/i3 Receipt Issued
Remarks
air,-
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Form 523 Bldg. Code
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