1976, 07-12 Permit App: L4902 DuplexCAlinty of Spokane, Wasligton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE .__ 9
GENERAL REQUIREMENTS
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 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.
APPLICANT FILL IN BELOW THIS LINE nn�
Name of Owner yLe„, Address .5, 7/7 i� LCL+ [Qr'. 99 JC Phone 5? 8 4"22 2
Architect Address Phone
Engineer Address Phone
Contractor Address - Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
,a.,. -“e_. / -
DESCRIPTION OF WORK: New X Addition
Size of Lot 9.Di)( /f,J
Stories LDimensions o?9x 71) %
Rooms 7 Baths Basement
Full, part, none
Heat. System
Use of Bldg.
Type of ' oofing
Remodel Moving Bldg. one / Fire Zone
Sewage System — " - Const
Br.
Total Sq. Ft, 36O Valuation S� 6610Foundation Const. L"o Chimney Fireplace
✓ (Kind) (Number
Ext. FinishtL4 L6 /-11/ Int. Wall Finish Q
No. of Units.Bedroo s
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
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-
(RESIDENTIAL'— COMMERCIAL
SOUTH
I hereby�certify information submitted is correct and there re no other
as sh-__oG�s�l
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit e/s2_6 -6-,,
Heating Permit A I-4411,
Sewage Permit t%!ZP: M�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/ -7;
DO NOT WRITE BELOW THIS LINE
Your street address will be / U 7 _ 0 9 ( The zone is
Sewage Permit Number Issued Building Permi p44.:k
� The zot.l-.Z 4 Issued
Remarks
Form 523 Bldg. Code
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f.�EST✓/ELJ ADD /7700