1978, 05-31 Permit App: M6531 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LANG USE OR STRUCTURE PERMIT
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 11
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.
�Pair A flea 1 G
[ APPLICANT FILL IN BELOW THIS LINE
Name of Owner/V t L t COWS 4- Address / 2- 7 2- 1 C,.2 Phone fl 6 / 5-6 {
Architect — Address Phone
Engineer Address Phone
Contractor SSA- M .t Address sA- hod 42.r Phone ...<741.991 -62
Pte -1- i 9 5i 7 - tic -1 o
Legal Description pl Property Give complete description from deed, tax eceipt, etc.) Parcel Number
a Ely(2-IAA,rt-etv Aft /
ja7/4) /,r/ 6.0111
DESCRIPTION OF WORK: New Addition O Remodel
Size of Lot 9s-' c o SG (3' /.. q ! i
Stories�L Dimensions Z^1 X-76 L1R,%tilt.om Car95-e
Rooms ' Baths
y�/ I Basement ✓//
Heat. System Foundation Const
C1� .ISR Type of Roofing C`OWr • Ext
t
Use of Bldg. 1341 �ev -RAC* 9 r+a, ,R
Moving Bld Zone Fire Zr,�
Sewage Systenr`L� Const Pa-
(Fr., Conc., Br., etc.)
Zle r Total Sq • Ft Z7 Ca Valuation -73 ie1-3-45
Co NG ra'Ile- Chimney Fireplace ��s�r�
(Kind) ( uN m r
Finish / / —/ 1 Int Wall Finish "al
No of UnitsZBedr' s .� a!
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
Set A++14-chad
(a 14" A
SOUTH
State License No.
At- LL -CC - 23L/ 4- S
Ind. Ins. Acct. No.
'v4
CFTESIDE NTIAL-COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
to Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information smitted is correct and there are no other structures located on this property except
as shown.
•
Own;r or Rent
A LAND USE OR STR
'2124 3/ /27r
Date /
CTURE PERMIT MUST BE ON THE PREMISES BE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
C.tit-?4)
Tour street address w111 be
Sewage Permit Number Issued Building Permit )
Remarks
•
DO NOT WRITE BELOW THIS LINE
/7'1l,Sfrlocfv'
The zone is cZ3,LLvtt_
Receipt .. �IIssued
Form 523 Bldg. Code
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