1977, 04-01 Permit App: M309 Duplexokane, Wasigton
C�nty of 5p
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
t)
GENERAL REQUIREMENTS
PERMIT FEE
g or
PERMIT orEQalter anylbuiuse or lding ors structurealreadyrmit serected, oruired y touchanty gesallandnto use.erect a Constructionnmust conformre of with the
kindp
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water
ace, shoulders be
County Roadsthe , permissionandState ealth must bepobtained fromre theork Countyster Engineer's Officeisturbs
the surface,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.23 .
Sleast 25'5 FROMiPROPERTY al 5' side zones
side yarrdrfrom aost cflankingnces, a street,sandback 25' rearthe
yardfront
areprequiredrtY line, of at
STATEAIis required, clearance must be obtained pertaining to set -back and ingress
HIGHWAYS. Where the structure abuts a State Highway,
and egress.
COUNTY for eddOinSaccordanceswithtstakes.oPointsmof y ingressperformed
egressnmuststaked
approved byCounty
theRoad
Co tyrEngineer. work mustbe
performeduilding is
HOgIwa OncNmustAbepermit
obtainedrequired
thetCounty Engineerland/orlState Highway. When a bDepartment moved on a County or State
Highway, clearae
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE arenforce enforceable Buildersld
kCountysions Officialscovenants
not bringdedications
toand
enforcements covenantslng with the land
or dedications.
which
APPLICANT FILL IN BELOW THIS LINE
gaaci E- Tri► t
at, raori It Ems.cxteYN
Name of Ownef Address Phone
L ESQ Address Iif
Architect Phone
Address /a��i � a,y�
Engineer /� %� i 7 � / Phone,(/
Contractor C -A,,// ! ,„ % `.� , . Address Lor Pao" 1
L I De ription of Property ( ve fo Tete description from d, tax receipt, etc.) a
CDGhrcxtie-_ , JGLiJe/ sirs O'H 1 /i , , ( f
Phone 9af 060
DESCRIPTION OF WORK: New /3d Addition Remodel
Size of Lot 97- 077
,� X 9.2 -6 ,-? 7( 32__ Total Sq.
Stories 7 Dimensions ���, �
Bath Basement — Foundation�ryConst..
G{l'r`7 Type of Roofing L -� �x j,� Ext. Finish T 711
Moving B
Sewage System
Rooms t Fu I, part, none
Heat. System 7�' c
Use of Bldg. ,7DG`t/Yl4CX 1 l_�✓�v� ��7l . y (14 '
PLOT PLAN
property lines; (2) street or road locations;
lines and streets; (5) dimensions of buildings;
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
em,and water supply lines.
NORTH
Idg. Zon1e Fire Zone -/
Const. /r'
(Fr., Conc., Br., etc.)
Valuation c n
Fireplace
(Kind) Nu r
CO'-'77/Int. Wall Finish 77/ XPi`
4/
Ft
Chimney
No. of Units 2Bedrooms
— DENTIAL — COMMERCIAL
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. Ins. cct. No.
REQUIRED
Plumbing Permit
m Heating Permit
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cerci, y information submitted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown.
DO NOT WRITE BELOW THIS LINE
Your street address w 1 be c}^ J r) ; t/
Sewage Permit Number Issued Building Permit`/V ,3C-9 Receipt?11.3 Issued
Remarks
_{ The zone is
1aT 4 Go c h%'one g
Tasf' • M /a
�XCe 1 C o hkr.4 c74
h
97,27
•
28
.�D
S.2'
492.9 S9.
3z.
2s
2o
WA NS F/EL2'