1977, 04-07 Permit App: M0486 DuplexCtanty of Spokane. Wash ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1 Coo
GENERAL REQUIREMENTS PERMIT FEE •� 1f
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 most 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 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
nn �r
Name of Owner .`�-icre D R(sC'tszi Address EA-4yi4,' 3I; Phone 9(244—GreS<4
Architect Address Phone
Engineer Address
. Phone
Contractor . ) 4-rn °_. Address Phone
Legal Description of Property (Give complete de criptio? rom dee tax receipt etc 1
OC,���•.1 4 i F 9v/ 0I' vf' /id eti
A-A.T /d}. (i/0/0/Ye n[2/ ry • /'SW" -
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DESCRIPTION OF WORK: New X Addition Remodel Moving BIN. i Fire Zone
.—
Size of Lot 9e X Jt Q..%'� Sewage System % const. /CJQ'/n
s� (Fr., Conc., Er., etc.)
Stories• rte(
Dimensions V/ % ! Total Sq. Ft. • *SI Vatuation X92 Mei
Rooms %1 Baths �{ Basement' /� Foundation Const (9.Ft%t %-Q r A.-. Chimney/p (A k Fireplace a.
(Full, part, none) 1 Ind) (Number
Heat. System Type of Roof' g Ext Finish L/../60 / Int Wall Finishc 1hae '/.ef^.�/
Use of Bldg 75Ut GX- 1 v -9•o -S /gne--..J 4- /4 / /2111 No` of Units Bedrooms 54
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
ESIDR EI�ITIpli— COMMERCIAL
Sem �aenea
State License No.
t77.<
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her: by certify in or tion submitted is correct and there are no other structures located on this property except
as show 171/, //
er or gent Date /
A LAND USE STRUC URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
,y„ , v DO NOT WRITE BELOW THIS LINE
Your street address will be tc , /p =3 -1.I - ,;;i; l �%(ai.d-it,f/.-,7 n�,1 The zone �ips��! C „L -4---
f,/
Sewage Permit Number Issued), Building Permit The Receipt p--+Zsued .-
Remarks (0 /� �Q 'T /-,1 i/// .
F
Form 523 Bldg. Code
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