1972, 05-11 Permit App: J2951 Duplex County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT53t_ )
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
C 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 F72- c
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Name of Owner ddress E i -.Air-- �� Phoneel / 4/ ?'3
Architect Phone Engineer Phone
Contractor ---,-, Address Phone/ /,
Le ag 1 Descr on of Pr ty (Gi a complete descrip 'on from deed, m
tax receipt, et/c.) ,,X?--- - s'. ✓�C
DESCRIPTION OF WORK:New Addition Remodel Moving Bldt one / Fire Zone
Size of Lot/61 d X / n Sewage Systen er.A, ��! tories� / 0 d y
Const. Dimensions 8 ) 3, Total Sq. Ft. -. 7 Valuation! ' CI
(Frame,concrete,brick etc.) / 7
Rooms/ Bath 17-0'4- .ement Foundation Const. Chimney Fir lace
0010� art, none) (Kind) (Number)
Heat. System ter. /Type of Roofing Ext. Finish-77-1--// Int. Wall Finish �l
Use of Bldg. V / - ' No. of Units Bed ms
Garage or Carport At.r ched 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.
NORTH State License No.
Ino. Ins. Acct. No.
_Jaz_
REQUIRED
Plumbing Permit
in Heating Permit
in a
y co Sewage Permit
Plans Received
CPlans Checked
Plans Returned
( Plans Picked Up
Plans Mailed
SOUTH )
I hereby cer ify information submitted is correct and there are no other structures located on this property except
as shown / `
-3---7/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCT! N COMMENCES.
THIS IS NOT A PERMIT.
0 AA, 'y^ e DO NOT WRITE BELOW THIS LINE
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Your street address will be //3;374i2.- X /39,i e " ' The zone is '
Sewage Permit Number Issued Building Permit
Remarks , -1.:6--- ----
-- eipt 4'34: ssued
Form 523 Bldg. Code
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1 13 7/2-- — 1371'1 Z.v A-("1 e' • F.H.A.CO. E HEALTH
DIST.SPO. . HEAJ..�TH DIST.
_ - 70–y / - / y ,.5`S' _ APR 131972
f„:,- 1. HEALTH
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