1976, 11-02 Permit App: L6055 DuplexCanty of Spokane, Wasmgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE cJ /
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 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 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. Wherethestructure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress-
and
ngressand 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 L'/
I NE 9y,„:4,' SL
Name of Owner AI, �a}, 'MAE1...LE/€ Address / d •4 7/ .7 le? Phone /1"1/ 7-60%24
Architect Address Phone
Engineer Address Phone
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Conactor a tZ_/'r2-a Address n Phone
jD
Legal Description of Property (Give complete description from deed, tax receipt etc )
0g S'L 3 — c//7 GCJ / 3o/ c7/it % <
EXe. /'a `H
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DESCRIPTION OF WORK; New . X Addition Remodel Moving Bldg. Zone / Fire Zone 42
CConst. fr3/4711�
In., Con, Br., etc.)
Valuation e-i'I eActo- 01
f./ Fireplace / `U'e"�
Size of Lot /c70 h /30 cV
Sewage SystemC7,t5 '7X?
___-.__ Dimensions - - Total Sq Ft r71/o"i/0
.E'BJiiZ '/ '4�Ba ement //�— Foundation Const ����e—+F��/�
Rooms � Baths
(Full.
(Kind)
— - Chimney-'
Heat. System 7c24 ,r� Type of Roofing �+ Ext. Finish / / "//
Use of Bldg._u.�D�1�-s/i/ 'r,t—
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.
,��/�J�J�,5 (1lbimber,
Int Wall Finish__gq-6H'2zL£--4c— '1
No of Unitst Bedrooms o'/ ..P'G' s
as
NORTH
RESIDENTIAL — COMMERCIAL
i
SOUTH
tion sub
er or Agent
m
N
N
State License No.
y—t✓j;‘)30z.
Ind. Ins. Acct. No.
7- /' 77
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
//
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
n, �► DO NOT WRITE BELOW THIS LINE
ate
76
CONSTRUCTION COMMENCES.
street addess will be c2of a — 'Pt D /c, A°• L D G//r
Sewage Permit Number Issued Building Permit/ 6 cc -Receipt -3 / p
7/�
Remarks
The zone 1s Lv
Form 523 Bldg. Code