1977, 07-07 Permit App: L2278 DuplexARNOLD'S CONSTRUCTION
P. 0. BOX 213
VERADALE, WASH. 99037
Cwnty 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 any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 vork 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 li 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.
a
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
Defformed 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
Hig$way, 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
Name of Owner <)(WY% C 24-7LIC_�Lt Address ;/'. !l' en X( �2
I t�'�'�C llp��e (/ i� �/ / (/ h
Architect Address Phone
Engineer
Address
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc.) nit /✓i iFf R>%/ -AAa .9 Iia
Phone
of)6 -r,- lr-.'F- 3// nPP0r-i-a
a( 4 -he. a a/50 0 i A/ V g tiro p r
e Xre t -/-A e !r/- /S A/ -s0 Ms -S -t7
4/, II.f/, l -Ar o Wz --03r o'ted-G3 g%
DESCRIPTION OF WORK: New Addition
Size of Lot 90 )C ,Q44Q' 0
SA Stories Aimensions '' r"
Rooms Baths �, rn•� B ent r v "
"IFu(II,, ,part, none)
Heat. System J1-`�-d-C_ O- Type of Roofing
Use of Bldg. .. 't ,4 -tJ 044
Remodel
Moving Bldg. Zone --/—Fire Zone
ta
Sewage System - 4.vk Dost. A (I ��t G
34a 0 �,g� fr., Con Br., etc.)
Total Sq. Ft./d" " Valuation/i`5?000
Foundation Const 00 n C, --p 4 y -1- Chimney-- Fireplace ti�7
�
t%'/� (Kind) (Number
( �"` Ext. finish t Wall Finish-f�'-r�
f�IL u
`1 PLOT
C-�o ofe Bed
aP�1
Draw sketch with dimensions showing: (1y' 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.
NORTH RESIDENTIAL - COMMERCIAL
SOUTH
Stata,Li¢ense No.
i[\
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures
as shown.
ocated'on this property except
Owner or Agent Dad
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 address will be r { l Gl9 ' / ,EELP 0<
Sewage Permit Number Issued
Remarks
Building Permax,
The zone is
„927t ReceiptK4f71)
Issued
Form 523 Bldg. Code
l