1976, 01-21 Permit App: L2464 DuplexCanty of Spokane. WasVgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 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 onwater 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 thestructure 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 .
Z - Address/w(3(13- (o n 1' u Phonn/�eeY��iigN/ - 7 c^
7�,
Address fns ex en -4 or ma Phot�l
Address Phone ‘32^: t
/
Name of Owner
Architect
I/ '
Engineer
Contractor
Address _ Phone
47Legal Description of Property (Give complete description from ee receipt etc ) �G b H 7 — / eO 3
,� ,3 ac -e/, 3 %b rt o rs_..✓ �,QfLx,4,-a^i
DESCRIPTION OF WORK: New Addition Remodel
Size of LoN6t j.3 a- e /o
/ o � "
Stories Dimensions g: J( ;3 / ri-. a,
Rooms Baths Basementr/// Foundation Const
Full, part, none T
Heat. System �� 1Y �� Type of Roofing Co 'n Gi aogg Ext. Finish—r— — /l/
Use of Bldg. l�rr6 A ..r,-' pc rr --GG/' Inv$ ctll' r4-
ii yO•
Moving Bldg. Zone / Fire Zone 3
Sewage System $ T onst. trcc •••-n(Fr., Conc.. /Br., etc.)
ro n (l -P 72
Total Sq Ft v96S 9. Valuation .47-5,Q.,ao a
Chimney Fireplace 0
(Kind) j
nn (Numb
Int Wall Finish (�-�- p(
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.
N
-I
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
St e)//Lt ense No.
TI
nd. ns. Acct. No.
REQUIRED
tv Plumbing Permit
t� m Heating Permit
O N Sewage Permit
N
44.
Plans Received
Plans Checked
Plans Returned -
Plans Picked Up
Plans Mailed
I hereby certify or submitted is correct and there are no other structyreslocated on this property except
as shown. / /
7G
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
L-,11{4 DO NOT WRITE BELOW THIS LINE
Tour street address w111 be
Sewage Permit Number
Remarks
r//Offo.S' -or/
Issued Building Permit
9r
The zone 1s
�//91Receipt /R 3 Issued
Form 523 Bldg. Code •