1978, 05-31 Permit App: M6529 Duplex6
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT //a—
GENERAL REQUIREMENTS PERMIT FEE 1
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 landiiuse. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to.inspection. 1
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater connections disturbs I
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. 1
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and fork 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. 1
i
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.
pp /' APPLICANT FILL IN BELOW THIS LINE �0�rah.-� 992/ ,,
Name of Owner A � D l o t S -1l Address / ?_ 7 2- .5 ra L C Phone 72‘ In /
Architect Address Phone
Engineer Address Phone
Contractor SC- rh 2- Address ;...CA. v• -•_R Phone Sa T -t -s--
Legal Description of Property (Give completedescription from deed tax receipt, etc.) Parcel Number 1PAl4- % i (51:-0,40-2—
Lot ( k� I�t 2 f"\o-t't Aci�
2/w Dr 14- — So'
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 9 S, % i )h. 1 Z y . 41 9 Sewage System Cir-4-: G. Const. fr
* Fr., Conc., Br., etc.)
Storieas a Dimensions 7-1-1 J(76 64S�f'j2 aJ 6, r.�5 C u- bac-4;70[a! Sq Ft %760 Valuation -75000
Rooms Bathe / Basement /" 11 Foundation Const Cover -.1.4 0 i /-e.4
1 Chimney Fireplace
(Full, part, none / (Kind) (Number
Heat. SystemCI4r! a T pe of Roofing C k.. r Ext Finish i ' - / ' Int Wall Finish -.Pr 474;4- 11
Use of Bldg. tb 1siB. — i 4_5 -eh. <'.a4 64-r4_, J2 No of Units ?Bedro si z.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of dxisting 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
SQA- 44-4-
(D -k- \ lav
p)4A.,
SOUTH
State License No.
Nn -LL -CC -d 234/4- C
Ind. Ins. Acct. No.
" !plc
ESIDENTIAC - COMMERCIAL
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informs ionubmi.ted is correct and there are no other structures located on this property except
1 1 / 7`t6
Owner or Agent Date
A LAND USE OR STRUCT RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
I.
THIS 1S NOT A PERMIT.
as shown.
r^c---411.1S7-1-4,"4"r--n
- c 4r DO NOT WRITE BELOW THIS LINE
Your street address will be . ' / 19 4. 1 Z 1 Aft U A/ >.(.t t / / 2. q The zone is 2 n2.I , �0.4 ,
"�
Sewage Permit Number Issued Building Permit/ -a/7 Issued
Remarks
Form 523 Bldg. Code
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