1977, 07-29 Permit App: M2584 Duplex• 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON; SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE ' PERMI
GENERAL REQUIREMENTS PERMIT FE
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 onwater 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 47235.
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 thestructure 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.
PPLICANT FILL IN BELOW THIS LINE
Name of Owner ,.IS�I A�r Address `L`SWii` phone 0
Architect Address Phone
Engineer Address - Phone
Contractor Address �Ph/one
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel_Number / 7 syµn-
> d
L ! / J t. a
DESC i``/eee Addition Rem el Moving Bldg. o e on,ir
Size of
Sewage Systemj Cst.�}7�'o�Cn�nt�—
nc
)" 1t �
Rooms Baths 2 - Basement •
'� G/�G� Total Sq Ft 6 Valuation
Chimney
Stories Dimensions 6 D )t St
(/ II. Pert, hone..-_. --_.-._ Const
Z)---3�
Firepl,ce
Heat. System I) ✓ Int Wall Finish _
Use of Bldg. i� _! -- is. _ ,i_1 No of Unity Bedrooms
T • : of Roofing
PLOT PLAN
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.
NORTH
I hereby certify Information submitted is correct
as shown.
State Li ense No.
In no. cct. No.
RESIDENTIAL -COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
Xe
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures -1 ed
rfn his p tpy except,27 /
6-2
Dw�ei or Age Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE REMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
��DOpp,NOT WRITE BELOW TH j LINE
Your street address will be q' d—`-'' — i?-0Sewage Permit Number Issued Building
. Remarks
Form 523 Bldg. Code