1972, 10-24 Permit App: J4847 Duplex • County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201,
APPLICATION FOR LANE! USE OR STRUCTURE PERMIT 5 �'
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
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
Hig way, clearance must be obtained from the County Engineer and/or State Highway Department.
ACC(SSORY 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 cart not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner N/c►'(FXCQ,( Address 1/3 G i 'L"-- -,,jr.... t. Phone Oa' t y'T /
Architect _wy2 Fly Phone Engineer Phone
Contractor 5d Al 4( Address Phone
1
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ler 04' _7-4,-...75-
____
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___ _ 7j %- /6'-z6' (,,;I9CHIT Exr i-tie w, . i.i7
- -_Z?3-9/ -/6 y (l 5- j 4 i is 1 AJa,z G.vj-Avie !i-c.r e s
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg.Zone Fire Zone
•
Size of Lot Meq X /3 6'. Ii Sewage System S'y.A e Stories 1Y S'Ei.
Const./*Zet/"f Dimensions 7e' )0.231' 1' acre.. /.2.6C t Total Sq. Ft. 2iV Valuation': ei).'
(Frame,concrete,brick,etc.) 1 —
Rooms Y.Baths Basement fu/L Foundation Const. (o c, a i - Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System 66 Type of Roofing 2/94, /J p,/II. Ext. Finish /-// int. Wall Finish Pier-tf'41
Use of B1dg.0 � Cs V AIit' No. of Units _ Bed/rooms
Garage or Carport Attached ,/,( ✓e dt (i i's — 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. State Lic ase No.
NORTH --C_.
1') fie¢ 7� Ind. Ins. Acct. No.
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REQUIRED
' - I
c ■■ L .,[ / 1
� i , Plumbing Permit
tCA/4 m Heating Permit /teeet4r s
IA 41 A ( 44.4fre, 111 Sewage Permit L//21 "A'',*�f...
-1 , \ 1 •r
(---- 7' .- -- - ( ' Plans Received
L
p ... Plans Checked
iPlans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here srtify . :tion subm tted is correct and there are no other structures located on this property except
as shown. _ r_ �
i �-�. . Fes ._ ,.
Own' or Agent Date
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
au, „.., DO NOT WRITE BELOW THIS LINE
41
Your street address will be l.L '! -• 6 e. ..7. .e zone is
Sewage Permit Number Issued Building Peri ` Receipt ssued
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Aq�Remarks i `. ! ' 'r
(. ` -
Form S23 5Idg. Code
L
1,
CERTIFICATE
I- certify that I have surveyed and staked Lot 26,and Lot 25
except the west 71 . 17 feet thereof/in Block 1 of Replat of Lot 1
through 10 Block 3 Darlington Acre Tracts in the County of
Spokane, Washington, as shown hereon.
V.. ^401,NE CAMERON
Professional Land Surveyor
Wolfland, Inc.
E. 11305 Sprague
Spokane, Washington
May 19, 1972 NCAA,
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