1978, 09-20 Permit App: N0670 Duplexo`)
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON' 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 137 )
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 wlth,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 onwater 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 47235.
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. There 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 OP 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 101LTM4 ate 1 Address
Address
Address
Address
Architect
Engineer
Contractor
7
Legal scription of Property ive complete description from deed, tax recei t. etc.) Parcel Number
C QA+T,r pa w -#k o 7t Cl 9oa(n X1'.rc1 m$'
Phone
Phone
Phone
Phone
,(,n f a lock f S//u1PA eeigr %j'oJ
DESCRIPTION OFIWiORK: New x Addition Remodel Moving Bldg Zone T� Fire Z e
Size of Lot �f') cat .L.0 /a/ "no Sewage System \fir i lonst
Stories L Dimensions
Rooms Baths Fu Basemen
Fr., Co Br., et,F 1 -,
Total Sq Ft -�3‘ 0 Value ion Rei; t7TJ'f�
Foundation Const (ovLC'4! rad Chimney
Heat. System
Use of Bldg.
I, part, n
^ Type of Roofing
IV
Fireplace
(Kind)„/ (Number
1dJYkd.J_ Ext Finish I / — � Int Wall Finish cif/j/
;.o4.c,C No of Unita.-agbdroo
6 J PLOT PLAN
Draw sketch wit dimensions showing: (I) 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
State License No.
—.L-3a4/ OS- ca -
Ind. Ins. Acct. No.
SOUTH
a
N
y
COMMERCIAL
IREDRE
Plumbing Permit )14-e7 to -g1 J
Heating Permit / 2,-/A.r e
Sewage Permit L!%A
o/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
pac3/78 Aita4i0
yjherebypcerti-f/y Snf tion submitted is cor ect and there are no other structures located on this property except
aai5¢gWW41--Lrd�'V �(.ed. 4•”
({/SLI Owner or Agent
C'JALJ ztL,c) % of
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMN
A's(TP
DO NOT WRITE BELOW THIS LINE
Tour street address will be /2—/ if rYN�e•
ad_ et. The zone is e"..
Issued
Sewage Permit Number Issued ding Permit N � 3./%�w .l
-{1(4n Receipt ,?c 5 Issued
•
Remarks
Form 523 Bldg. Code
6 6 7
Lot
Tr f},vS fie / d eoc,citr
r- ipete / .sy /v%A &tine /42061/44;e4