1977, 05-27 Permit App: M1549 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920 ' '
APPLICATION FOR LAND USE OR STRUCTURE
1( GENERAL
PERMIT REQUIRED.
kind or alter
Spokane County
WATER. Water
the surface,
SEWAGE SYSTEM.
SET-BACK FROM
least 25' is
STATE HIGHWAYS.
and egress.
COUNTY ROADS.
performed in
MOVING OF BUILDINGS.
Highway, clearance
ACCESSORY BUILDINGS.
RESTRICTIVE COVENANTS.
which are enforceable
Building
supply
shoulders
Permits
PROPERTY
required,
Work
accordance
REQUIREMENTS
A land
any building
must
Where
on
must
Accessory
PERMIT j r
PERMIT FEE ,
use or structure permit is required by County Resolution to erect a building or structure of ak)
or structure already erected, or to change a land use. Construction mast conform with the
Code and Zoning Ordinance. Construction is subject to inspection.
be approved by the County and State Health Departments. Where work on water connections disturbs
or ditches of County Roads, permission must be obtained from the County Engineer's Office.
are required in all cases by County Resolutions Nos. 45-133 and 47.235.
LINES. In most zones and under most circumstances, a set-back from the front property line, of at
a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
street right-of-way may not be performed until staked by County Road Department and work must be
with stakes. Points of ingress and egress must be approved by the County Engineer.
A permit is required to move an existing building. When a building is moved on a County or State
be obtained from the County Engineer and/or State Highway Department.
buildings (garages, sheds, etc.) require a separate permit.
Builders should check provisions of covenants or dedications and easements running with the land
through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LI Q�, / C�
Name of Owner
a Address /-_ _I..r Phone q.2�, —1 3
Architect SP.-
_.=� Address 1WT Phone
Engineer Address Phone
Contracts .y-vim$— Address Phone
:.I Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number -- -- ---.7---•-c."- eg-
1.-A L ♦ . 1 . ....I - - - 'j -
DESCRIPTION OF WORK: New Addition Remodel Moving dg. Zone / Fire
ne
Size of Lot ( / --i Sewage System r ��/2 Cons.
r !lc.)
Stories Dimensions off7 lD ci Total Sq. Ft 77 JValuatio ~
Rooms Baths / 'Basement Foundation onst. Chimney C ' Firepl /--„----u
ce
(> (Full, part, norm, (Kind) (Number
Heat. System �j-' Type of Roofing �Cif--C!” Ext. Finish 7-- /7/ Int. Wall Finish J�.+rx.k-Q
Use ofd
j,{r: / i-✓` No. of Units _Bedrooms-�
—,
LOT PLAN
Draw sketch wih dimensions showing: (1) property lines; (2) street or road locat
proposed buildings; (4) distance to property lines and streets; (5) dimensions of
tem and water supply lines.
ons; (3) location of existing and
qui rings; (6) location of sewage sys-
NORTHState
License No.
r
�
Ind. Ins. Acct. No.
`
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
U
ow Heating Permit
m
H
N Sewage Permit
/41
Plans Received—ice,e.---7/1
Plans Checked
Plans Returned
6Vn(u/4
Plans Picked Up
Plans Mailed
(
SOUTH
I herebi y ini�t`" o " submitted co ct and there are no other structures 1 ted on this property except
as shown.
,Lc,.-5 c4--i 7/7
Owner or AgeG,,,, Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO N • T WRITE BELOW THIS LINE
WI
c� -
Tour street address will be� U (� c•-•.-C;64 G ,_ _ -v1.-3(l c3 v J\ L 2 -
644;The zone is 4/
Sewage Permit Number Issued Building Permit IS Receipt Issued
Remarks
Form 523 Bldg. Code
N
4
Acie,
4K,// ere. C
474' Zi/e L /
I -7-1`-
,46'./c/ K 2, /1R
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