1977, 07-20 Permit App: M2473 Duplex• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 02GENERAL 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.ater 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 -.ay 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 1s 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
Name of Owner K. Ili /j 0 / /?1 tz'2 Address Phone
Architect Address Phone
Engineer /v1 L. Address Phone
Contractor/fes- L., DeloI of/ -Address /oo 9' /V 5ess/ e. phone aa6-c.%.3c3
Legtel Descriptiom of Property (Give complete description from deed, to receipt, etc.) Parce Number /`'LJ 4'
91- / 6) e/70 �%J 91 l 3 0 .L. .0��- ..d' 2 7 ' {� --r-01.c-/-8?-6-
DESCRIPTION
ef6
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg: Zone / Fire Zone
Size of Lot /17 /,x' LK. / ‘-7-0 '
Stories / Dimensions 7,7 ' 0C 33 / 0 , a h
Rooms Baths /76 semens o// Foundation Const _ r, n r .i -e Chi eya✓-/tK Fireplace / 1
!- (Full, part, nona� /� �G (' //�^ (Kind) /n (Numb r
Heat. System kir �� Type of Roofing .OL /• xt Finish l oYe-d'Int Wall FinisFoC1�-
Use of Bldg. _r i__ _ _ < �.� No of Units___ —Bedrooms S2:e2P--1
Sewage System S 7-
Const./—a -�^ -0--
1Fr., Conc.. eto.)4'64000
Total Sq Ft�S�d Valuation ') "to'
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
3 &'-•
_7 0
s
.yv
*3 0
State License No.
nd //Insf Act. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rm Heating Permit
•i
N Sewage Permit
ay
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SO'_
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent D(;te
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
77
y-�.3 ���;LDO NOT WRITE BELOW THIS INE
VTour street address will be ,, . �-t 'L The zone Is 1 ! . -
Sewage Permit Number Issued Building Permit //'9-7% Receipt ?2'Q' ssued
Remarks
Form 523 Bldg. Code