1976, 11-03 Permit App: L6223 DuplexCu:inty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._:_7 ?r
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
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
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.
work must be
or State
APPLICANT FILL IN BELOW THIS LINE
Name of Owner wirt�a � Address
Architect Address
Engineer /�/}� Address
Contractor MIA FI�ll� + �. Address
5 kpr e
Legal Des,cription of Proper y (G ve compete dgscription fro deed, tax Jeceip , etc.)
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DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Phone
Phone
Phone
Phone
8.3P -cur9/
4.1•1
Size of Lot 0.7..3 X 1/ / 's, 6
�,/ �j
Stories / Dimensions 0' 1\ wG 1 u
Rooms 7 Baths Basement
..{/F..ull, part, none,
Heat. System 4Efe€lPIG Type of Roofing _
Use of Bldg. Os y /tX p-YQs e-
Foundation Const.
Sewage System
onst. if" r.di.l'11e-
(Fr., Conc., Br., etc.)
Total Sq. Ft. Valuation
_tali eves- Chimney Fireplace
ind)
Ext. Finish T_- /f Int. Wall Finish
Q GA t? d lode 1. 4. 4 ecK No. of Units 3, Bedrooms
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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
RESIDENTIAL — COMMERCIAL
1.et 4-4tele.40,1
I hereb
as shown.
SOUTH
tify informat;.n •witted is correct and there are
A LAND USE 0
THIS IS NOT A P
m
a
KHH- LE -1Vi= iv /
M.3
Ind. Ins. Acct. No.
2y6, 796
REQUIRED
Plumbing Permit ' /ft I.S /QN /94141,4
Heating Permit / 0 6 CO
Sewage Permit Roo Welt l ifQ r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other struies located on this property except
er or Agent Date
TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
RMIT.
DO NOT WRITE BELOW THIS LINE
7‘
Your street address will be ,$ /5'4 Q — 2 Z
Sewage Permit Number Issued
Remar
%ecru:
Building Pfermit
2
The zone is
Receipt ..(
sued
Form 523 Bldg. Code
IS .3
fry
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