1972, 04-17 Permit App: J2841 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Ll / °o
GENERAL REQUIREMENTS PERMIT FEE-------------------------
PERMIT
-----------------------PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aw
kind or alter any building or structure already erected, or to change a land use. Construction mast conform,q�h,4.he
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. Water 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
Name of Owner A�Av ee., ,,rz, 5•i ZnG. _ Address _ / �So7C� �� Sn �'A9LI� Phoneif
Architect Phone Engineer Phone
Contractor X,)fV f / .1r16 • Address / 3S��/ E. SoR uY Alf, Phone -e �
Legal Description of Property (Give complete description from deed, tax receipt, etc.) �O cx Z
DESCRIPTION OF WORK: New k Addition Remodel Moving Bldg. Zone _L--- Fire Zone
Size of Lot f!1 X //S " X_7a' X 43's " Sewage System// Stories
Const. _ Dimensions _o2Y_ A ' X -;?Q " X as Total Sq. Ft. -8 a Valuation 9s Q o�d
(Frame( concrete, brick, etc.)
Rooms Baths __� Basement -PU 1— Foundation Const. am c gee �� Chimney Fireplace —�
l // (Full, part, none) (Kind) (Number)
Heat. System e /e / ,f c- T/ype of Roofing e! Ext. Finish _ G(J/r4 Int. Wall Finish
Use of Bldg. 4k, P/e--C No. of Units _ _Bedrooms
Garage or Carport Attached 1.4-Z!&e�-- a' r�'Q Private Detatched
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. L nse No.
m
CA
1
NORTH
O
E�ri
0�
aS pp
�i
State ice
Ind. Ins. Acct. No.
t�
D
,y1,AA, SOUTH
I hereb. ertify informsions t 'iid is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR 'ffft0QT"PF PERMIT MUST BE ON a HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will iie
Sewage Permit Number
Remarks
Issued
DO NOT WRITE BELOW THIS LI"E
Building
�he zone
']� RProipt Issued
REQUIRED
Plumbing Permit
n�
Heating Permit
MSewage
Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed _----
,y1,AA, SOUTH
I hereb. ertify informsions t 'iid is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR 'ffft0QT"PF PERMIT MUST BE ON a HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will iie
Sewage Permit Number
Remarks
Issued
DO NOT WRITE BELOW THIS LI"E
Building
�he zone
']� RProipt Issued
s
1�� ., fc. UCn�}'r
unit
c
84 so. :. i ower
unit
2 Bedrooms each
IA1est _-__ _._..__.
Fast
1 Bath each
b
20'x22'attached
carport
No fireplace
-0-
90,
-0--
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Lot 6 , Mock
2,
Patricia Subdivision
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Tract 71;
Vera
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Floor Level +63
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