1977, 09-20 Permit App: M3402 Duplex111 10
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 �j
APPLICATION FOR LAND USE OR STRUCTURE PERMI -
7
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 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
Ci(i.Z17ID
Name of Owner '- "7 r1-177- f .- r s t., Address /7'.3 12 c% S cr /9 Phone `2--(1-k)--7 t
Architect Address Phone
' Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
L r, 3 /iJc- /< 2 14,/c,, --e / c s t me— ' 2 7 5 C,'/ - i 7 Li'
DESCRIPTION OF WORK: New Alidition
Size of t /d Ln JOU
k� X
Stories
Remodel
Moving
imensions 2 G -x 7 Z
Bldg. Zone / Fire Zone 3
Const. � 1-21
Fr., Conc. :r , etc.)
Valuatio'��
Sewage System S{
Total Sq. Ft
okto
Rooms Baths , Basement ru t Foundation Const erg n C F it Chimney ��ireplace
I
(Full, part, novel (Kind) (Nu ber
Heat. System 1:3.13 Type of Roofing CO ti? / _ - Ext. Finishlrz, r Int. Wall Finish S h.-
Use of Bldg.
raw sketch wi�ons showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
J m
H
P•
NORTH
PLOT PLAN
perty lines; (2) street or road locations; (3) location of existing and
nes acd streets; (5) dimensions of buildings; (6) location of sewage sys-
No. of Uni
Bedrooms
I h
as sh
71
A LAND USE
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
HSewage Permit
� r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
by certify information submitted is correct and there are no other structures located on this /property except
k
eZT-d 9/°2 4/? 7
ner oiAgent Date
STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1 32.-3 DO NOT WRITE BELOW THIS LINE
lour street address will be
jp
Receipt f4% Issued
)—�he zone
4ewage Pe, it Num. Issued Building Permi
Remark(111L1" "T "[S r 9-z1-77
•
3g‘)2"
Form 523 Bldg. Code
1
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Plo - P[cLr
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I4i 1. lees AcRes '`hi*?
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