1978, 02-13 Permit App: M4889 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT if
PERMIT FEE .4/(6'6
GENERAL REQUIREMENTS
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
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.
�
j APPLICANT FILL IN BELOW THIS LINE y;
Name of Owner ?f i:.i.l 3i /� Address ` z �1/J / CplLL C;1 CI Phone
Architect Address Phone
Engineer Address Phone
Contractor '2 ( --°Y? Address Phone
Legal Devriptiqn of Property ive complete descri on from deed, tax receipt, etc.) P cel Number r
_lO ik l L(- L:1r° 1 < r
CL cc4,n tL — 3 --- / r' /
6
DESCRIPTION OF•WORK: New X Addition Remodel
Size of Lot 3 h Q ,"� ,+fit -n ��-_ / ��`` { fl -'L.'
Stories J Dimensions -/ 0 A
Rooms 7Baths Basement 4. Foundation Const
u I, part, non
Heat. System )�,p� Type of Roofing
Use of Bldg. C RCL J v, -L L.1JJ
Moving BI.: Zone ! Fire ,one
Sewage System Const
J/ (Fr., C`¢nc., Br., etc.)
Total Sq. Ft •!16o Valuation
e M ' J_ -12= Chimney Fireplace - -�
(Kind)
Ext. Finish
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.
71--//
(Number
Int. Wall Finish el%7,1 �' /1'ff�
L41 No. of Units - Bedroom(
i
rn
NORTH
SOUTH
I hereby certify infor : 'on submitte
as w}i � te)
C Lv Owner or Agent
A LAND USE OR STRUCTURE PERMI
THIS IS NOT A PERMIT.
(34(— �11/7 u, A DO NOT WRITE BELOW THIS LINE
Your street address will be e Sfe> 0 9 iJ�' C ?�' �(nQ _ / The zone
Sewage Permit Number
Remarks
W a —
m
Y1
State Licens- No.
4_34 S' ,4a
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRE
Plumbing Permit k 2Z -1
Heating Permit alee(Ovr
Sewage Permit p ,. G1li t.i/"
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correc and there are no other structures located on this sroperty except
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Issued
Building Permit
is .:Z .T.GY.ZLL w?I2- Z.
��� Receipt () /G1.3 Issued
Fnrm ! 9 fl Rlan rnrlo
Le, T � 2 SLo - II DAu)'/5 / ,D')'7"/ o"