1975, 11-10 Permit App: L2040 Duplex1
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99201 t
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 work on water connections disturbs
1 the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
ti 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,
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.
of at 1
APPLICANT FILL IN BELOW THIS LINE
9G�o(v
Name of Owner 3-M Enterprises Address E. 9R20 Holman Rd Phone 924-8272
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legai'6escription of Property P,Q�/
ive complete description from deed, tax receipt, etc.) C(C
Block 1 . (Lot 5,Shawell Addition
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 135' X 102.86'
Stories_l_Dimensions 84' X 26'
Rooms _8 Baths Basement none Foundation Const
Fu(I, part, none)
E.B.B.
Heat. System
Use of Bldg.
Type of Roofing Co p
Moving
Sewage System
i•
Bldg. Zone Fire Z
Septic Const.
Fr., Co
Valuation
Chimney Fireplace
(Kind) (Number
Int. Wall Finish Sheetrock
Total Sq. Ft 2240
Concrete
Ext. Finish Wood
PLOT PtN /
Draw sketch with itrimensions showing: (1) property lines; (2) street or road locations; (3) location
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location
tem and water supply lines.
No. of Units 2 Bedrooms 4
nit
NORTH
See Attached
Plot Plan
SOUTH
I here�ertify information submitted
as shown /
Owh or Agen
is correct
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of existing and
of sewage sys-
State License No.
223-01-15494
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located
on this property except
// —/D 76 --
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT
RITE BELOW THIS LINE
Your street address will be / / ALQ
Sewage Permit Number Issued
Remarks
Building Permit
The zone is a
Receipt /6 2Z0 Issued
Form 523 Bldg. Code
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