1977, 04-08 Permit App: M0641 DuplexCC:4nty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 D 0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7O D
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 must 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.
((��77 ''''�. vvvv APPLICANT7/�FILL 1N BELOW THIS LINE >r lc,�r-xrC 9�y,/-
Name of Owner 2 . t e") .%{ ,2f 1-G� Address ��r �if-f�'�AS�'?„�1-� Phone Get ,Q� s L12
Architect Address Phone
Engineer Address Phone
Contractor KI /a4�.2 Address �J Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) XFI--/,C/ YOQT !,Z p_ -'/ R-///7
koy- /34k / KDr,'i,e»L 30 /3
DESCRIPTION OF WORK: New i( Addition
Size of Lot 90 .1/ /S . ✓5
Remodel Moving Bldya` Zoe -,/ Fire one"
Sewage System .t+rJD CConstb -' t'It"-e
i (Fr., Conc., Br., etc.) D
Stories.1_D'mension�s��}�4O )(1,2 D / E $ /:; l( .i l,� Total S Ft./`%4 D'
� � afi J4, ',`"(/- q Valuation s' '�%OD
Rooms aths /-� (Full, part enone Foundation Const
7
Heat. System td. !3 /3 Tygle'of Roofing
Use of Bldg. �t7 y/,'/ ...7-J.4.--i-it} /70
it
Draw sketch with dimensions, showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
alltiee...ca 0. Chimney/Pum o' Fireplace 2 n„ce.2.Lp-rt.
(Kind) (Numpper A�/��j
n tett-i--Int Wall Finish A �4� - •iirC1ZX
No of Units _ Bedrooms qQ.-.02 ,
Ext. Finish
O.X
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESI
DENTIALL - COMMERCIAL
LL axrci.,c,eazt
SOUTH
a
N
N
State License No.
de
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage 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 located on this property
as shown. -
4-e-77
except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0" - 1441114:0 DO NOT pp,WRITE BELOW THIS LINE �y
Your street address will be / S / - /.5/ x0. ti -e/ ,/(1 The zone is .[.�P v-J-Ctii-2.<
Sewage Permit Number Issued Building Permit()Receipt 3 764 Issued
Remarks
Form S23 Bldg. Code
i