1976, 03-09 Permit App: L2957 DuplexK/ 1
County of Spokane, Washii. ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / Sj
GENERAL REQUIREMENTS PERMIT FEE (IJ
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 =1St 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 tie 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
Name of Owner
Architect
Engineer •
Contractor
/Ken en n e't& Address LZ/ A- 2 4 Phone w -5-r- •S' -'
Address t Phone
ra-fr'i ` Address Phone
Address Phone
Legal Description of Propert
y (Give complete description from deed, tax r`e'ceipt. etc.)
C
DESCRIPTION OF WORK: New i.--- ' Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot / A- .4 '.,' .2 1 2- Sewage System S, ?4 re' Const. '
(Fr.. Conc.,-Br., etc.)
Stories Dimensions 3/_ V ( 2— Total Sq. Ft..132' Valuation -6,44e el 0CI ar-d
Rooms ___C—Baths .2- Basement Xrh {- Foundation Const , ^ Al G ��6-"C Chimney Fireplace 2�
(Full, part. none) (Kind) (Number
Heat. System /•94 • at- Type of Roofing 4 O »' a ' Ext Finish 5— Z`41.- c A Int Wall Finish CIL° ^& aa. -•-t
Use of Bldg. /Fay c' j ,/e hr_ -P�
_ i to �4L�
--. ��
No Units -Bedrooms -I- \
PLOT PLAN 6
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.
dt-r-/ 03,
NORTH
2G
w rte ,
F --61—Q
SOUTH
State License No.
.223^0l-R2sL-3
441;3
Innss. Acct. No.
REQUIRED
Plumbing Permit O /L
Heating Permit r7--< EL .
Sewage Permit /111.1 t--
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. pt_r� -3 Cat
/ /
Owner or Agent 'AI(/®` D e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT
('u, inIitio DO NOT WRITE BELOW THIS LINE /
Your street address will be a 0 3 4 6 7.--f— e�. 7 -ei' The zone is (/"
. -
Issued Building Permit 2 Receipt i 66
Remarks L 2
Sewage Permit Number
ued
Form 523 Bldg. Code