1978, 04-18 Permit App: M5902 Duplex0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT, O a 41
els GENERAL REQUIREMENTS PERMIT FEE //i.
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
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 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 .li.r�� 94.L/(o
Name of Owner A/0 / / CONS + Address / �7y- 1 c Sp ! � { Phone 92 E / S6 /
Architect Z ciS 7 ('. w �a i Address C 'i o C C Y S v e Phone `' D!/ Z
Engineer Address �' Phone
Contractor , fn. -. Address Phone -�
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Pan- /953/{-0saZ
o 4- Z k 4- L /I -(a e .v /4 d eJ . `F -i o -✓
!7/11/ w/b7W SOI
DESCRIPTION OF WORK_: New V Addition Remodel Moving Bldg. one Fire Zone 3
/
Size of Lot C/ S / G O ' (t �-ie e f Sewage System �- CConst. Fl
Fa�/ IFr., Conc., Br., etc.
Stories�t Dimensions ZZf X p4 11 Total Sq Ft Valuation �'S c
Roans � Ba hs / Basement run Foundation Const Cn.vc CA- i- p_ - Chimney Fireplaces R'
Fu I, part, none' .� (Kind) 1
(Numb'''.
Heat. System Etat. k g Type of Roofing fs4- L Co". . Ext Finish 1l'- 11 Int Wall Finish ((J `y/ 6" /f
Use of Bldg. �.(1RK — 'g nS.ah, ems. Nut nit .�-yl iJ No of Units_Bedroohisi J—G.a-
•
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; ,(2) street or road locabjons; (3) location of existing and
proposed buildings; (4) distance to property lines and street; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
S=am
A-414 c L
pt o Flit !lz
I hereby certify inf
as shown
SOUTH
ESIDENTIA - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
N Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted is correct and there are no other st uctures coated on this proberty except
�. /i Y
er or -gent Date
A LAND USE OR RUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6) -At liget124, DO NOT .WRITE BELOW THIS LINE
yy ` / 2
yd
Tour street address will be e()1 //,3 - //S' � L at //!/l� The zone isa dTa-
Sewage Permit Number Issued Building Permit Receipt ./4E9--0 Issued
Remarks �I
Form 523 Bldg. Code
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