1976, 07-12 Permit App: L4865 DuplexCitify Spokane, S okane, Wasllgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND 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 r
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.
4e, -1 -?Ler ssAPPLICANT FILL IN BELOW
� THIS LINE pry p
Name of Owner ZC%lP�,/. .31,/ 4.G-rZ-lr , . Address 5• /Lz e„;11,1 nom'_ .2/4 Phone J P-41,2 -
Architect �� Address Phone
Engineer Address Phone
Contractor Address Phone ,, �/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) t.4r d -t
A/c- �
ao
DESCRIPTION OF WORK: New )( Addition Remodel
Size of Lot 94-
X l 9/
Stories __Z___ Dimensions
Rooms Baths Basement OSI Foundation
Full, part, none
Moving Bldg. Zone
Const,�7J-�
Fr., Conc., Br., etc.)
%L'' 7`/ X
751
Heat. System
Use of Bldg.
Const
Ty a of Roofin " Ex
Ld
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Sewage System
Fire Z
Total Sq. Ft . - � Valuation : n/)
Fireplace
ff (Kind) (Number
t. FinishG 711/i Int. Wall FinishA
G9CI _ No. of Units Bedroo
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
et4 7LCA.Q Chimney
RESIDENTIAL — COMMERCIAL
SOUTH
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit P
Heating Permit� +
Sewage Permit /CJyG
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other .tructures located on this property excepts
as shown.
Owner or Agent
« A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address
Sewage Permit Number
Remarks
will be e ; c;2 ,) (1)>/ -,=/-The zone is 4W,52/6Issued Building Permit Receipt i2 /5S4/ Issued
Form 523 Bldg. Code
4
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