1974, 03-04 Permit App: K3775 Duplex County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE 46'_
00_.
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 he 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 act-back and ingress
and egress.
COUNTY ROADS_ work on street rignt-or-way may not no performed until Staked 4y 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_ Wnen a building 1s moVnn 4n R c41111ty 4r Scat*
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
Na! a£ OwAer Irt - Adgr811B __7S?e -'-m Y e'Q Phone r re:
Architect Phone Ehsine€r gnono
I
44?1£r of or AVM,_ Phone
Legal ben ription of rrop.rty dive comolet dencript'on from deed. tax recel t, etc.j
call ` 5-.9� l- n i- 1 �. t d 4 " 7 } i K 1 I i eel %-i-a.. -
a7 ..)---5/3 _ ) 9' Z - 03 (0,42- ,.
DESCRIPTION OF WORK:New 1..---- Addition Remodel Moving Bldg.Zone / Fire Zone
q
Size of Lot J ?./(1 X /'9\.'5--- Sewage System 1214!e/(._ Stories
Ti
Const. .2)s"C_. Dimensions{iiy X `4 + .....1)(2)(2 f g(Iti)iva i l ,,-Total Sq. Ft."2/ '7- Valuation c7
(Frame,c ncrete,brick te.)
Rooms sso Baths Basement T4-11 Foundation Const. Co ` Chimney '�----- Fireplace
Full, part, none) /�1 , (Kind) (Number)
Heat. System .t_ Type of Roofing `.�✓►4P Ext. Finish 1-VII tA'lla SSW,fe.Int. Wall Finish jr'-. 14-1°t-U
Use of Bldg. No. of Units . Bedrooms__V__
Garage
_V_-
Garage or Carport Attached . Ad I e C Ft f t'--.5 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 '3l ij State License No.
IInd. Ins. Acct. No.
I 1
1y/ ial
AA. /5
Cd4af" etlir REQUIRED
- — - fi(° _ - ^+- L
Plumbing Permit /
m Heating Permit �t7.f�c:C)
N 1 N Sewage Permit ��—+
-I -1
G Li 1 Plans Received
Plans Checked
I Plans Returned
4 Plans Picked Up
IPlans Mailed
SOUTH
I hereby certify information submitted is corre and there a e .o other structures located on this property except
as shown. ,/, _
Of Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIO OMMENCES.
THIS IS NOT A PERMIT.
t
DO NOT WRITE BELOW THIS LINE 1
Your street address will be / `"Fa zone is .S �,
Sewage Permit Number Issued Building Permit 47' Receipt,-5--a 9?- Issued
Remarks
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Form 523 Bldg. Code
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