1976, 03-16 Permit App: L3065 DuplexC my of Spokane, Was gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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,enforceab through civil action. County Officials can not bring action to enforce covenants or edications.
APPLICANT FILL IN BELOW THIS LINE
Name of Ownern'�[ - Address f one -
Phone
fanny e ,
t
Architect
Engineer
Contractor
LegBa Hescription of ro
-- 2.5—�
Address
Address
Address
rty (Give ompJte description from deed, tax recc 'pt, et
Phone
one
DESCRIPTION �OF WORK: New )< Addition
Size of Lot 2// C.) c? I/' -V T "
Dimensions
7
Baths-- Basemen s" Foundation Const
G/G,,C-
(Full, part, a ,a/) 7
eat. System Type C/
Use1f Bldg.
Storie
Remodel
Moving BId Zon. / Fire Zoge-
Sewage System
r' r
Total Sq. Ft
2
st.
Cor Br., etc.) GY
• lac �N/ be
y
Valuatio
Chimney
//%%� e - (Kind)
Ext. Fi ish�c— Int. Wall Finish
Aai / ./,moi
k Draw sketch with dimensions showing: (1)
I`�` proposed buildings; (4) distance to property
tem nd water supply lines.
i
m
NORTH
OT PLAN
Fir
)
No. of Units _ d, kms
4
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL -/COMMERCIA
7 7 (--e _112
SOUTH
I hereby ce 1fy formation ubmi ted is c ect and ere
as shown �� '� �
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
;-,:ori;
Tour street address will be / 2 / /7 4 /Y
Issue• / Building Permi
are
State License No.
Ind. Ins. Acct. No.
REQUIRED
1 2
Plumbing Permi -
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property
DO NOT WRITE BELOW THIS LINE
except
r
Date
CONSTRUCTION COMMENCES.
Sewage Pe mit Number
�The zone
- ,L30iS- Receipt 6")2/ Issued
.i1f r / c�.rsz
Agg,s
Form 523 Bldg. Code