1976, 06-01 Permit App: L4126 DuplexCitify P of Spokane. Wash9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ;';�Ll�
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APPLICATION FOR LAND USE OR STRUCTURE PERMITf
GENERAL REQUIREMENTS PERMIT FEE '7`y
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
e 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.
I ANT FILL IN BELOW THIS LINE �l' ftp
Name of Owner G L�f.L iL Lit �N: (.< Address % / %mac' /� 14 Phone y� `�jfl
Architect Address Phone
Engineer Address Phone
Contractor ' ' "r- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc) ,
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DESCRIPTION OF WORK: New X
Size of Lot /"2'°%
Stories Dimensions
Rooms ?s Baths
(Full
Heat. System 4,,/zt...' t
Use of Bldg.
Addition
Remodel
Total Sq. Ft /4 Valuation ,
c '•�. r �; �t ,tet: �C
Moving Bldg. Zone - Fire Zone
Sewage System q-= LConst. "` `-
(Fr., Conc.,_pr., etc.)
';
Basement7= " Foundation Const ChimneyFireplace
, part, none) ( ind) (Numb r,
Typ, of Roofing (1.11 l-4 (_t Ext. Finish + Int. Wall Finish 1�� t ,' '� '
fi1ti
' l�'-!�� ! •- 'il� �•� h�t �, „F'- �.LC�,��-� � �!• 3�r. / � No. of Units _ Bedrooms
/ 7.2 f)7''-
PLOT PLAN
1
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,” : ge 'sys-
tem and water supply lines.
NORTH
RESIDENTIAL — OMMERCIAL
m
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer fy formation ubm tted i orrect a
as shown. / � �'�-/
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
there are no other structu es located on this property except
7
THIS IS NOT A PERMIT.
�.:. '1-(�1ik
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be 4- • �' t
Sewage Permit Number Issued
Building )ermit •L,i//
The zone is 111'4(- , f ,L . J-64
Receipt C%'Y/lo/ Issued
Remarks
Form 523 Bldq. Code
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