1978, 04-18 Permit App: M5898 Duplex1
® -
County of Spokane, Washington..
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS' PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 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 IThr p gqz /bo/
_
Name of Owner NB Li Cow s �'-- Address
11-7 1 / r S'r+f a Phone 92 t; / S C
Architect R v6'< G71 a Address . 74't Fx �rk 5 + Phone 92r; o 11 2
Engineer Address Phone
Contractor • <J4• r'-' t Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Pa R7- /g:S.S/- D 402-
n 2 R /i ( ,"l Dili,. 4-Jcl.4-ie-.v
Rik! it/ /orti
DESCRIPTION OF WORK: New t/ Addition
Size of Lot l0ti,70 N l'314, tics
So'
Stories Dim nsions
Rooms z aths / Basement Nu't's Foundation Const
Ful, part, none)
Heat. System�ix c f 2 1, Type of Roofing ? 7a' Cex 1'' Ext. Finish ! -
X 8 `6 H—t"k
Remodel - Moving Bldg. Zone / Fire Zone 3
Sewage System-cr"-r <Const. ]—
(Fr., Conc..., etc.)
Total Sq Ft -7 Al- b Valuation yr
C 8A, C (; Chimney O Fireplace
(Kind) (Number,
Int Wall Finish Sht�f Ch. r
No of Unitsi Bedroahs
Use of Bldg. 6
PLOT PLAN
Draw sketch •ith 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.
H
NORTH
SOUTH
I hereby certify information su
as shown.
m
D
N
y
tted is correct and there are no othe
State License No.
410-LL-cC-4 2.3q k s
Ind. Ins. Acct. No.
ESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structuges located on this property except
/
Owne or Ag nt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
6--ALiitO1P ,
00 NOT WRITE BELOW THIS LINE
Tour street address will be N4c, / .1-71 —/t' 'V( n/ .0, t The zone is a tt'i44.' .fI-rbcf—,
Sewage Permit Number Issued
Remarks
Building Permit tf-lell Receipt /-4...J.2) Issued
Form 523 Bldg. Code
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