1976, 07-12 Permit App: L4871 DuplexClty of Spokane, Wasllgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE a9
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally'
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
Name of Owner C`./=2ZA/1% /Al r - Address 6.! Phone
Architect Address Phone
Engineer Address p Phone
Contractor . ` I� •...�• • .dress 6' 1C1 g'4.6--7.flt, 9y =10t, Phone 9.2 2 - 81r•34)
Lrr3, B v/Tog
Legal Description of Property
(Give complete description from deed, tax receipt, etc 1 n
DESCRIPTION OF WORK: New Addition
Size of Lot 94f)/ X /R'5 '
Stories / Dimensions
Rooms -� Baths Full, part, none
Heat. System et.A.069 Type op
Use of Bldg. IL�)
e7!'T iC��'! Total Sq. Ft �-% Valuation s L22J
Basement
Remodel
Moving Bldg. Zone / Fire Zonnee,',,�,�
Sewage System -5 P Tib" Cons . 7/�7.)
Foundation Const C Chimney
jai
Fireplace
(Kind) (Number
Ext. Finish U2 7i// Int. Wall Finish
No. of Units,hC .Bedr. ms
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 RESIDENTIA COMMERCIAL
m
us
SOUTH
I hereby erti y 'nformation submitted
as shown. 1
Owner or Agent
is cprrect
1 i
m
State License No.
Ind. Ins. Acct. No.
OK ON F -12--E
Plumbing Permit ✓� ^J , ,,/�
Heating Permit r7 i' / /
Sewage Permit 142=24013frt�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are nojther structures located on this property except'.
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NQT A PERMIT. J 1i��
( fir. �L� �,tn,'\
DO NOT WRITE BELOW THIS LINE
Your street address will be e kk{.C.Q..44,2V—e---) The zone iso--/1t44t-' -t-L--
Sewage Permit Number Issued _- Building Permit, Receipt.. 2 2S Issued
Remarks Tt
Form 523 Bldg. Code
v
70
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