1976, 10-27 Permit App: L6012 DuplexAPPROVED ,-,,
Spokane County Sidi. t:: ; . i.:lit.
Cb anfy of Spokane, Waskr g 8ie
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, W
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.t! f
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 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.
A APPLICANT FILL IN BELOW THIS LINE
Name of Owner / l` Address // t .? Ac E Phone 3- "' C/ v
Architect Address Phone
Engineer Address Phone
//•5—/ ( S .S l C /) Phone 9-2 C i.-5-9
Contractor 1Jr•r. ,/u,S J j?, de,- Address
Legal Description of Property (Give complete escription from deed, tax receipt, etc) ‘,./ u.-cx A S y / " ' /
() ra r —01- D . • L/ . //,P f 'J�c�k y 1----
, ,; ' .) L.1 r -c., ...,./2A',....7...e' /
DESCRIPTION OF WORK: New L- Addition
Size of Lot y7 x / • �/, G
Stories Dimensions .� •Jl 3 S' '
Rooms 1 Baths / "Cl-grasement fu 1 I Fo
(Full, part, none)
Heat. System L.-'1.147 Ce, 1, 4jype of Roofing L. c
Remodel
�'-
Moving Bldg. Zone Fire Zone
Sewage System 5': T S r}+.or.n, Cst i , `�Br., ' eic.)' `"
1Fonc./
Total Sq Ft /S 7 i Valuation G c
undation Const CO n, ,'- v T -t Chimney Fireplace F S '
(Kind) (Number
Ext. Finish il &LAA. / / )-Int. Wall Finish n .,`%----
Use of Bldg. nc p /V /7 [./
1 ..>t 1st No. of Units _ Bedrooms
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.
m
(n
NORTH
RESIDENTIAL — COMMERCIAL
State License No.
i
Iy- ertify in
as show.
tion
SO
bmitte
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
/C" —
er ../ gent Date
A LAND USE 0 TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Perm
The zone is
6t�f �_ Receipt 3:� Issued
Form 523 Bldg. Code