1978, 09-20 Permit App: N0671 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 QO'
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ' 3-7 j9C
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 mast 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 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.
/J""����
),n1 yc-r fAPPLICANT FILL IN BELOW THIS LINE //--
Name of Owner tni//, t' 474 I Address S 7f 7�'" S/� � phone _J 9Z
Architect ((// Address Phone
Engineer Address Phone
Contractor �crn_J� Address Phone -
Legal Description of Property, (Give complete description from deed, tax receipt, etc.) Prcel Number
C „Cl 1 'ina-j ' 1 pA"1- ei . 0 %-cVV - 9? Oah
4ot 4 .P/6e,A / -�y/41,',¢ ( cagr ,t/a273/o.4)
DESCRIPTION OF WORK: New X., AdditionQ_ Remodel Moving Bid Zone Fire Z e 3
Size of Lot qo )( /3 /• �QrSewage System . . Const.
Stories Dimensions 1Fr., C c., Br., etc.)
-,/-Total Sq. Ft Valuation
Rooms Baths Basement Foundation Const frO e.t-(_.t r-'
7 F (I, part, nor Chimney Fireplace
Heat. System �r �y lKind) q (Number
y JJ // Type of Roofing t' -"h Ext Finish / / - /1 Int Wall Finish /X �-[J�/C�-1
Use of Bldg. .rCLCI f�Jii/ GCA a _ .�/Z L ,,,LI .I22-�,t-� No of Units edrooms�7
✓ j PLOT PLAN
/e
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.
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NORTH
SOUTH
State License No.
f—.C3aVC- c -
Ind. Ins. Acct. No.
REGI DE NTIAL.O M M ERCT AL
REQUIRED
Plumbing Permit
in Heating Permit
to Sewage Permit (I,/
o/
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
fla/irAzotr
y
I hereby certify infor ion submitt d is corre and there are no other structures located on this property except
ner or Agent 4 O Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PES .
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DO NOT WRITE BELOW THIS LINE
Your street address will 1* 'Ns zo 7 -fJ r aP.d 2C.F-42-d-Za The zone is k) 3iQ�vtts �c.RQ
Sewage Permit NumberIssued Building Permit N-Ohi 1/Receipt r945..3 Issued
Remarks
Form 523 Bldg. Code
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