1976, 04-15 Permit App: L3397 Duplex410
Canty of Spokane, Waslegton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �J
GENERAL REQUIREMENTS PERMIT FEE
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
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.
AP LICANT FILL IN BELOW THIS LINE
Name of Owner �/ '.' _♦ �_. ' / . �� / .� ddress
Architect Address
Engineer % Address
Contractor Address
Legal�.escription of Property (Give com.Iet: desc ' •tion from deed, tax
star t ,►� `
//-4 c' -/4" 9a(7&
c
Phone 492.2
Phone
Phone
Phone 7?;;/e-
DESCRIPTION OF WORK: New v Addition Remodel
Size of Lot
Storie
Moving
7 ./7)<A9//01. _7L / ��k'
Dimensions /d.(-3
Rooms/a_ Baths
Heat. Systen<
Use of Bldg.
(FullB, part, aseme.
n
B/g. Zone / Fire ,-.ne.?
Sewage Sy
iEJ t" 24 .f' �0) %� 6(O(2 -"Total Sq. Ft ?/o) /C
Foundation Const Chimney
Type .f Roofing i
0)14/2___Ext. Finish #0,/,/ -Ag,, fc art Irff t-1_0
PLOT PLAN
ons
Fr., s c., Br., etc.) eV
Valuation Sd 67:/7)
Fire •lace '47—
(Kind) j (Number
Int. Wall Finish
No. of Unit Bedr4'ms
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
d2f-eL/6"--Q---.
SOUTH
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
m
existing and
sewage
sys-
State License No.
-a6-770
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit L
Heating Permit �l ye ( (J
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
s
Date
CONSTRUCTION COMMENCES.
Your street address will be — i The zone i
F2 _
wage ?emit Number Issued Building Permit L 3 s,' Receipt 0 3 O ):issued
Remarks
Form 523 Bldg. Code
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