1978, 09-22 Permit App: N0651 DuplexCourt of Spokane, Washirq on .
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEEla"—
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-b'ack and ingress and egress.
COUNTY ROADS. Work on street right-of-way may not be performea 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 building (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.
PPLICANT FILL IN BELOW THIS LINE iye2a6
Name of Owner I / -ace' .. / . Address %1 /02// X;L4 , o e Phone 9.2 - gegas5
Architect Address , Phone
Engineer Address Phone
Contractor Address Phone /
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number / A'"5--.4//— 0 7/ N
.E 4S' A/ /a -o' 45 , oo' /2 s-1 9 If- �/. /do' 5
�Do'• 6{ - ,,C -0.-/-/o/ ,Qi 6/ /✓•YTc1�c/;c.v f/ �.�C_�
DESCRIPTION OF WORK New ''• •� • • - Moving Bldg. Zone / Fire Zone .3
Sewage System- - t.i f Const.
(Fr.. Co ., Br., etc.
Size of Lot / 0 0 / / 7a •
Stories Dim nsions 30LL. 64 / Total Sq. Ft./4700 Value n
Rooms 'f at s�•��asementFoundation Const _.14tf o- d - Chimney /T%L Fireplace /-�-�-�
(Full, part, no661(Kind) (Number
YRoofing
Heat. System Type of Ext. Finish ^r -O -n l_j Int. Wall Finish L�. /.4/.Le-.
Use of Bldg. ,(./"t.st,P -.6_!J No. of Units Bedroo s a 4•- 3
ROADWAY R/W WIDTH it//4-
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.
I hereby cer
as shown.
1
SOUTH
State 'L'icensse No..
OAU /
Ind. Ins. Acct. No.
BES1D.E - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Too
Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
oration submi is orre• d the- are no other structures located on this property except
j(40� 9/aa/7 gi
ner or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PER JNI'f PERMITS -ARE NON-REFUNDABLE AND NON -TRANSFERABLE
•
16.42
Your street addrwill be "7. /Qo 7- // e zone is
Sewage Permit Number Issued Building Permit ()&57 Rene ipt _'/ ..2‘, sued
Remarks
DO NOT WRITE BELOW THIS LINE