1977, 08-31 Permit App: M3089 Duplex W/GaragesCounty 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
kind or alter any building or structure already erected, or to change a land use. Construction must conform with th,-
Bpolcane counts Building code and Zoning ordinance. Construction is subject tO tuspectMOIl.
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
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 ?��o6
/// ��r� Phone ?,?e0
Architect Address Phone
Engineer /J
/
Contractor Address
i� -% i Address j�l�i i%� �J' PPhone honed
i •) Parc e7 Number Q �i—.5! -3 -�'f� 1), t. GN �(
Uj
Name of Owner
Address
Legs Description of P,:.: y (Give com•lete description fro deed, tax receipt, et•
LfiC�. -ifs.— _ / /_. �_•. �•_
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories / Dimensions
Remodel
Moving
BI). Zone= 'Fire Zone
Cons cI% -
(Fr., c.*,,,e8r., etc.) GU
otal Sq. Ft. - Valuation ti 5 7 C,C,E2
Chimney ind) Fireplace_ /�G7 -/�
umb
Rooms / Baths , Basement. :� Foundation Const
Full. part, n.
Heat. System
Use of Bldg.
ype o Roofing
PLOT PLAN
Int. Wall Finish d 9
No. of Units - Bed s , 4.20
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.
-4
NORTH
a-z( (z9s
SOUTH
I hereby ,der ify information submitted is correct and there
as shown.
d _
Owne• or /Agent
A LAND USE OR ST UCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
7.42tate License No,
/ i v / -c -77
nd. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permi
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
To street address will be
Sewage Permit Number
Remarks Z'
DO NOT WRITE BELOW THIS LINE
Issued Building
Date
CONSTRUCTION COMMENCES.
t
The zone is (
Receipt (�S Issued
Form 523 Bldg. Code
u
Th