1976, 10-13 Permit App: L5823 Duplex ,
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 N
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Opokane County Building Code and Zoning Ordinance, Construction is subject to inspection.
NATER, watew supply Dust b8 appFpved by the county and State Health pepartmeatn. where w8!ll=A w8to! conn8otions diatui-h
tJ'e iiirlaae, skealdurs sr ditsheo of county Roads, hirmiiaiei, mit hi ihtalned :rem thn Counts engineer's Office.
eEwaew a1aTEM_ Fermite are required in ail cases by County Resolutions Non_ gg=13%ai 4T_33g_
OFT-11MCK FROM rn.orERTY i,YN _ In moat zones and under most ciroumotanoes, a set-back from the front property line. of at
least 35" it required. a 5' side yard_ i5' aide yard from a flanking street. and a 15' rear yard are required_
UAW HIOIIYVAI(O, WhRro tht Atrudtnro A!}HtA A UtAils UMW. Al*A anAA mint hl: AttAt>to4 oArutilt a to Ast-td,Ak 444 thereon
and egreea_
couwri Roam_ Mork on aireet riHbt+of■way may not b@ perform@d until etak@d by county Roan onplFtmpnt Ran WBFif mint 9A
'sgi=foiMig to iisaBFdifla attli itikii. Mai aihaftKi iid :er ss mig �d t is issrsVATthis 'B'a$ts g'mgihiiF,
Movrsn of auitolsom_ a permit is required to moyc an eriatine building_ When a huildina is moved on a county or mtate
uigewhy, elnapaaen must ni? Butainon riom tno County Engineor and/or €tato mignway nopawteiont_
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.
.2/
APPLICANT FILL IN BELOW THIS LINE 99�r(1
Name of Owner jze� "4"F �`[ /��`C'�i Address 'n fZ 7• : ,1---(Phone ^- 3-'1-""):--:%?- 7
Architect Address Phone
Engineer Address Phone
Contractor/0L k l lACad--Y-FZAddress II l�{Gj!/ !YL�Lc itist{ q.F.'.IwPhone = -57f---)-
Legal
5%�-)fLegal Description of Property (Give complete descripti n from deed, tax receipt, etc.) .'V f':`I .-- Ji/"/
DESCRIPTION OF WORK: New )4 Addition Remodel Moving Bldg.�.Zne Fire lone
Size of Lot `1,/ X/ -�� Sewage System �� '^�l� Const.
r (Fr.. Conc., Br., etc.) s!''�
Stories / Dimensiont. e t -X ' .S- .-LX Total Sq. Ft. 1 '� 7 Valuation - ' ��
Rooms,,1 -Baths1-" Basementkk.-Ak- Foundation Const. L1 �rL Ci rl%�- Chimney N°' Fireplace/VA
(Full, part, none) (Kind) � (Nunber1,
Heat. System G-is A : Typp of Roofing rtr'�i3(+_ Ext. Finish T/// Int. Wall Finish ✓`)�- /
Use of Bldg."""����/i4 ".f:: r L q..4 _ No. of Units_Bedrooms 34- '
}
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 CRESIDE —COMMERCIAL State License No.
OK OAI
r ,rytx -15-4"14-' Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
In
N N Sewage Permit
-1 -I
Plans Received
Plans Checked
Plans Returned r}
Plans Picked Up
Plans Mailed
SOUTH
I her by certify information ubmit ed is orreet and there are no other structures located on this property except
an shown. .cf •
• L-"Cf'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(9/14, Z DO NOT WRITE BELOW THIS LINE
E.V...444-Your street address •ill be /14 Q 1 .. 9 The zone
Sewage Permit Number Issued Building Permit Receipt ..3(06 Issued
Remarks �)
Form 523 Bldg. Code
f
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1 '
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3D'
i
301 o'
1000
GAL
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X 14 JOS ! x 1G
PAT 10
2,4
•' rc 7g I — x.51.
'"EL1
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iWEWAY
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PLOT PLAN SCALE 1 " _ 16. x7:
LF-GAL D �SCR[ PTIO 1- LOT ' 1 E ']0 40T 20 (� r
I—�7 28TN AVENUE -1 . �-C LOCK i KDKOM0