1977, 09-13 Permit App: M3280 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of anj
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.
APPLICANT FILL IN BELOW THIS LINE
JG
Name of Owner i✓ j' tR C.K' Address E �q/3 i,544 -e -/e`1
Architect Address
Engineer Address
Contractor t' d('C' Address
3�
Phone
Phone
Phone
Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Numbed,
/A.25 --`t3 /llt i ) 20 ay d/eck 1 5 -c .e 113�i1—v�`i
DESCRIPTION OF WORK: New Addition _ _ — Remodel
Size of Lot /5 2) 14.5e'G'
Stories _Dimensions 3 G X"7L-'
Rooms Baths -3 Basement - Foundation Const
Ful, part, norj,
Heat. ystemn- /c`c l'-‘1 �Type of Roofing C00.49 Ext. Finish
Use of Bldg. Dz ,, iei "Lg..ce
Moving Bldg. Zone . / Fire Zone of
Sewage System -X'', ConstConst. r r`
(Fr., Conc., Br., etc.)
Total Sq Ft 22gel Valuation 13i -,40 -Nr
Chimney mel r Fireplace / ._ fj.Ccc `R
(Kind) (Number
Int. Wall Finish 5� /
No. of UnitsLBedrooms 7
co „C,t e77.s.
T- /- /"
is
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buil
tem and water supply lines.
NORTH
•
CO
84C-IctkyG SOUTH
rL77teo�-
ns; (3) location of existing and
Ings; (6) location of sewage sys-
late Lic se No.
/1 Ind. Ins t No
7�
EQUIRED S�
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer#,ify information submitted is correct and there are no other structures
as shown.
SOCTee'
Owner oil Agent
located on this property except
D-3/27
to
A LAND USE' OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address1will be
Sewage Permit Number Issued Building Permit
Remarks
The zones
3r� Receipt '1 ,
.J/C c- 4/.
Issued
Form 523 Bldg. Code