1978, 08-15 Permit App: N0194 DuplexCount of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 •
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /a
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 -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 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. ,
Ai4-1�jy� APPLICANT FILL IN BELOW�THIISS LINE 07,2/6 , 0 83 /
vIt
Name of Owner 1'ry� IVP -e S !Lucy Address i ttlet E "fT � Phone q Y
Architect - Address , Phone
Engineer_ Address Phone '
Contractor X11 (<r= 31L-3 Gl' Address 43 72 5', Evee4,pec Barone 92y4 -z23
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PTN • 7-3
BL• 2 LOT 3 SILiJCy sura pri) (Sr 00
DESCRIPTION OF WORK: New_ Addition Remodel Moving Bldg. Zone Fire Zone ;9
Size of Lot _ 90 X. 15- Sewage System Sir -
__I const.
(FL, Co Br., etc.)
Stories Dimensions 7QX_S2 0"9 Total Sq Fi 24GValue on 7o 000
r7
Rooms /0 Baths 2 Basement f -t- Foundation Const. C-OA)Ci Chimney Q Fireplace -0
1-L.
�C^ (Ful ,tDaartpnone) (Kind) (Number
Heat. System Ec , # f: -ef Roofing Co r4 T Ext. Finish MAso A) ITe Int Wall Finish aKY LUA Lk--
use
`Use of Bldg. 0 Li ID LejC rtiter �(.nZelee- QL iJ No. of Units7-Bedrooms 2—
ROADWAY R/W WIDTH—
—;71-/
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 ar.d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and _ ter supply lines.
1U
N
N
NORTH
I hereby cer
as shown.
SOUTH
State License No.
S I - LU- F Lu2-73c
Ind. 'Ins. Acct. No.
- COMMERCIAL
REQUIRED
Plumbing Permit -
rrr Heating Permit
• Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
y
or tion submitt-d s correct and there are no other tructures located on this property except
/5f J7g
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTAPERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
.e zone . s
Receip Issued
Form 523 aldu. Code