1978, 05-31 Permit App: M6530 Duplexh
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1//
S
GENERAL' REQUIREMENTS PERMIT FEE
PERMIT REQUIR®. A land use or structure permit is required by County Resolution to erect a building or structure of BAY
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 Count' 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 t<'p, Lr ,L ,„ q'
Address
Address
Name of Owner N V (1 11 (61v 54- / 2. % I E S(' r2 L .t Phone q 2 6 /C'
Architect • — 1 Phone ---
Engineer
Engineer Address Phone
Contractor ,_S0. -t Address s/1 -r+.` Phone ' %T in. o
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number ?..r+ fieri.~ Si OZ
County of Spokane, . Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
1 of 3 I. Iis Z Mn ti A -a
R./kJ LLainT--f -
DESCRIPTION GOF WyORK: New �;Atdditiion Remodel Moving Bldg. Zone / Fire Zone
Size of Lot I 1 c A, 0 IC j31 -j. 47 Sewage Systei J' +; C Const. }- /"
// / / 11 IFr., Conb., Br., etc.)
Stories C.-EDimensions 2'4 6 Iy5 .e L -....-{- Geary K 4 t !4 Total Sq Ft 2'l 6o Valuation7rt -n D
Rooms _./.4_ BathsBasement 13 I I Foundation ConstCt..`r C r.. 4. .- Chimney i`] Fireplace (N —0 4
Fu ll, part, none) (Kind) umber
Heat. System 'L2L RI Type of Roofing n i-1/4.. so Ext Finish 77-1-- /' Int Wall Finish \Ort-(�+t- ISI
Use of Bidg•��t k'9q-DC -. in'rna^`*-- �1recci- . No of Units"LBedroQs -2/
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.
ti
NORTH
PC
I hereby
as shown.
c;rtify informs
SOUTH
State License No.
.(/O -LL C&*- 2S' -f'`.5
Ind. Ins. Acct. No.
4 -
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1 ed is correct and there are no other structures located on t61s property except
r 7
Own or 7gent
A LAND USE OR ST UCTURE PERMIT MUST BE ON THE PREMISES BE
THIS ISS T A PERMIT.
Tour street address will be to -7 4— i 0 9 S M 0 ---"' The zone is a -.74244c, Z
Sewage Permit Number Issued Building Permit 11-6530 Receipt ,:.)-17q 44 Issued
Remarks
Da
RE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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