1975, 10-07 Permit App: L1743 DuplexCanty of Spokane, Waslegton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G 671/GENERAL REQUIREMENTS PERMIT FEE....L.I —'
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 LINES 99a Q 5�
Address g 0 3 (J J Phonei7- 90 fy
Name of Owner
Architect Address Phone
Engineer Address Phone
Contractor "0-a-raa: Address Phone
Legal ascription of Property ive complete description f deed, tax receipt, etc) l/t �' /ln ��� -/J'a/
-/ 4 a_ — =- Jai
(24-/-0-71._)
DESCRIPTION OF WORK: New 'Addition
Size of Lot 9s y -3 C)'
..-mac=
Stories �-Dimens a//im.�•-==
Rooms Baths
Heat. System
Use of Bldg.
u(I, part, no,
Type of Roofing
Remodel
Moving
Sewage Syst
BI g. Zone / Fire line ?-
onst
_ (Fr., cp Br., etc.)
S Total Sq Ft -.V577 Valuation'je' 0-Zr-e
oundation Const alfaiza.L.5 Chimney Fire lace
(Number
/, / / (Kind
Ext. Finish ��� , ��C for Wall Finish
No. Qf Units,2 edr.. s -V `
property lines; (2) street or roe! ocations; (3) location of existing and
lines and streets' (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and wgter supply lines.
NORTH
PLOT PLAN 4)-rn
AL - 'COM - COM1 RCIAL
4.
SOUTH
I hereby certify information submitted is corr
as shown.
State License No.
0.;.3 -0/ - 9A) 0.(7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perini fl`
Heating Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures located on this property except
/0 -7-7J
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
au: ,(1 .
DO NOT WRITE BELOW THIS LINE
Your street address will be /gyral -7.5-c93 J The zone is
Sewage Permit Number Issued Building Permit 1/7443 Receipt ` 5 (ssued-
Remarks
Form 523 Bldg. Code