1977, 04-13 Permit App: M0617 DuplexClInfy of Spokane, Was>on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE --- 01-L)�_
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structur___.
e -_- 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.
NATER. 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 County Road Department and work must b`
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 Stat
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 �� ZEA
Name of Owner _01FIAVe Address
Architect Address
Engineer Address
Contractor Address
Legal ascription of Property (Give complete,descyiption from dem i
DESCRIPTION OF WpRK; New/ ok_ Addition
Size of Lot
loe-
t oms `1
Stories Dimensions Y-
RoBaths Basement
Full, part, none
Heat. System Type of RoofinnC
�
Use of Bldg. -SLAC p / P t V, D /r _f✓u
pt, etc.)
Phone
Phone
Phone
Phone
MOIR
Remodel Moving Bh . Zone �� Fire Z ne
Sewage System�onst.
Fr., Conc., Br etc.)
�Pfr r 2 , J36
Total Sq. Ft. Valuation
Foundation Const. _ 6C2!A2 PyT- Chimney Fireplace
� (Kind) (Number
Ext. Finish / — /� Int. Wall Finish
A�� 0 i
—A�
G _ }� P - No. of Units Bedrooms
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 RESIDENTIAL COMMERCIAL State License No.
Wo _ IL F 3,2 4 ,�
Ind. Ins. Acct. No.
SOUTH
REQUIRED
Plumbing Permit
`J 0
rn Heating Permit/'t
H Sewage Permit F e A)AM1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify mation submitted i correct and the a are no oth r structures loc ed on this property except
/ n � �
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT M ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
, ",/9 DO NOT WRITE BELOW THIS LINE
1"
Your street address will be
,Sewage Permit Number
Rsmarks kk.� !/
s
Form 523 Blda. Code
4 3-/vc1ci S'
Build
t
The zone i��jj `
Receipt f �� Ir °
L
1,04)0 46A4L"d
'Do,qL
IL
Eve
7-
70