1976, 05-13 Permit App: L3812 DuplexCitify of Spokane, Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -7 6 —
GENERAL REQUIREMENTS PERMIT FEE./
PERNIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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
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.
/� APPLICANT FILL IN BELOW THIS LINE
Name of Owner 7" I Ke LA ' Address S /-7,"'c 5 /i�r 9, Phone 9 '76' '�
Architect Address
Engineer k /nAddress
Contractor Tr pip 0 E! 613 Address
Legal Descrip ion of Propert (Give con I descr t'o fr m deed, tax recei 1, e 1
�-r- ?, t ) s - ..4 1/14;% ---Le
F. It 207- lS> w2414
Phone
Phone
Phone
DESCRIPTION OF WORK: New Addition Remodel Moving Bld. Zoone�rr.� / Fire Zgue '
Size of Lot / AD,2 / Sewage System Fonst. =1'`
`l Fr., Conc., B etc
Stories// -Dimensions J-'/1'3,2 '/ 6:X%6A otal Sq F aNationt �j� �
Foundation ons ..tet _ h Chimney ' i r I -
Rooms ,ii Baths Basement Const C ey F ep ace
(Fu I, part, non ` ( ind) / (Number
Heat. System Type of R fin Ext. Finish 1 I Int. Wall Finish 1 %f Of�
/�. g ldni'd�
Use
off Bldg.E' jC G 2 iCLp'd "
vLSi�✓ ;i�ilLrI L- <,
PLOT PLAN
No. of Units6edrooms 4"
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
RESIDENTIAL — COMMERCIAL
PO- P/i, k tt� a+jh
I her
as shown.
SOUTH
State License No.
a4-13 3 24 1 rso
Ind. Ins. Acct. No.
REQUIRED
i_
Plumbing Permit
rA Heating Permit if -e") -45.44
N Sewage Permit 4-4'Z7- I //ey
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rtify inf mation ubm tedii correct and there are no other structuress ocated 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.
(Q. -,,-Ji. r, DO NOT WRITE BELOW THIS LINE
Your street address will be , /.��.0 --OF A�`'� The zone is
Sewage Permit Number Issued Building Permi
Remarks
Receipt e Issued
Form 523 Bldg. Code
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