1977, 11-09 Permit App: M4086 Duplex• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT t33'
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 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 6igineer'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
.49 2
,r �JJj% , , _99//0
.
Name of Owner ...ea14 V �
•'-svJ. .. Address 065 e .l OTi phone q2¢..0/4€/
Architect Address Phone
Engineer Address Phone
Contractor.y�t 9� .Oevtil -- Address Phone
Legal Description of Property (Giveycomplete description from deed, tax receipt, etc.) Parcel Number PORT- (2_3a-4.2-90 92
T
/.O7 /34 / } _[ +',r_A ,IAi-C-trid-4t,C,C1
DESCRIPTION OF WORK: New— Addition Remodel Moving
Size of Lot /44 X /.9/ Sewage System
Stories _a___pi)nensions 24&(a9 )f.., 7 /YY- '/ 7 3.1X 4?
Rooms ±f athsa-ta"CBasement / 4 Foundation Const
l, part, none)
Heat. System Z Ty of Roofing. -_ E t
Use of Bldg. / L gc,91-f`/ TV-4-f-tt 2d-
Bldg Zone �— Firee-3
/ Const.
Fdpgr aluai
yon 1b/000
Fr., Conc.. Br., etc.)
0 Total Sq Ft
Chi
Finish 4(.441.MG�,li
mat
mney Fireplace let(La%x
(Kind) f(�� (Nu ar�/�
Int Wall Finish /.7 /fir �C�X�-//i�
No of Units Bedrooms Q.lFC/
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
State License No.
o/( on/ F/tom
Ind. Ins. Acct. No.
CRESIDEATTI COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
,l SOUTH
I hereby 10 for yµtlon submit edis correct and there are no other structures located on this property except
as shown.N.
//-9_77
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tour street address will be , .2 /.5--r/
7
Sewage Permit Number Issued Building Permit
Remarks
DO NOT WRITE BELOW THIS LINE
13,941; ,�.,e- - O
The zone is atdadizieteoefai
Receipt o1/454/. Issued
Form 523 Bldg. Code