1976, 05-10 Permit App: L3728 DuplexCointy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT#
TPERMGENERAL REQUIREMENTS PERMIT FEE -5-7-
PERMIT
IT 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 he 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 %%d_ 0 fo f/
Name of Owner a` # / k L H . K R i f K Address /4,34 5 t a. 3 &) Phone 9c, 4-- y.-gp.
Architect Address
Address
Address .a
Engineer
Contractor
Legal escription of Prop•rty (Give compl•te description from deed, tax
Phone
DESCRIPTION OF WORK: New x Addition Remodel Moving
Size of Lot 9 e)( /665citc/Zwiage System
Dimensions / 2)
Foundation Const. �� A Lf < �• r
Stories
Rooms 8 Baths A Basement
(Full, part, no
Heat. SystempefLi` z,c,,,Jfype of Roofing , Z .) pJ; 0'41 -•
Use of Bldg.
Fire Zone�?
Inst.Jl d >�z•f�'
r., Con Br., etc.)
/0 X /o)- *0"Total Sq. Ft 1=3fj/ Valuation ' ereQ
Chimney Fireplace
(Kind) ( ber
Ext. Finish Int. Wall Finishs�
r tJ No. of Units Bedrooms
Draw sketch wits) dimensionyc howing: (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 o sewage s's-
tem and water supply lines. 0/ - ,4 L --N37b,ti'
C�y1.zi
NORTH
2'5"1 hereby
as -shown.
SOUTH
ertify information submitted
44 a
m
-1
REQUIRED
Plumbing Permit
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
Owner or Agent Da e
A LAND USE OR STRUCTURE PERMrT MJST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will bel//5 04, r
Sewage Permit Number Issued
Remarks
The zone is
77
Building Permit); ,� Receipt :j"f_
Issued
Form 523 Bldg. Code
1