1977, 04-07 Permit App: M0485 DuplexCCanty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT - Cl D°
GENERAL REQUIREMENTS PERMIT FEE I
P4$tMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a, building or structure of any
nd or alter any building or structure already erected, or to change a land use. Construction must conform with the
okane 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 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. 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 4
Name of Owner 3 , '�^TSl�J` ctd Address C .- _ Phone /n21 -11r
41,0
Architect Address
Phone
Engineer Address Phone
Contractor . 5LaT.t� , Address Phone
Le al Description of Property (Give complete descriptir from 4,g2s1, tax receipt etc.1,
DESCRIPTION OF WORK: New — Addi on Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 9/1 EX /4,a 1/ Sewage System $ T Const. JAR. -Jyt P
(Fr.. Conc., Br., etc.)
Stories _Ca_
:.�'jc 7J, Total Sq Ft��� V luationVC l)L)/�
Rooms _jp_ Bathsegi
Basement - 11,// Foundation Const (..afl �'4is
Full, part, none) �% Chimney ( Ind)
Fireplace ;Num Ar
Heat. System - rType of Roofing Ext Finish fp!)CI!/ Int Wall Finish �",.0Y�.�%' r,.c1>
Use of Bldg. ec . ,U,.1"/t"� A Atka `%7..a.., C ,t JOX/ZO-w(�j
Zj._ _f_��, c No of Units'Bedrooms
- PLOT PLAN
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
ESN,TIN
IDECOMMERCIAL
fri/ /04
SOUTH
1 1a5$y certify
r ifyifo�ion� submitted is correct and there are no other structures located on this property except
/r/ 7 7
Date
A LAND USE oR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State License No.
4A
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
to Heating Permit
Selvage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ner o
Agent
, y. DO NOT WRITE BELOW THIS LINE
•
Your street address will be 'c r.
/O.�i/� -/.i/c�l��G-/_� j The zone is r...
Sewage Permit Number� ssued Building Permital ��
fritemarka rn Receipt �',s'Y/6/Issued
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