1977, 11-01 Permit App: M3987 Duplexa •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
/ 6G
PERMIT FEE it
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. 45-133d47.235.
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
Architect
Address ^,gG efL/! / 7
e
Address 9 9..)/y Phone
Engineer Address / Phone
Address
Contractor
Phone
scription of roperty (Give complete d=scription from deed, t x receipt, etc.) Parcel Number /-je/—' o 9/3
DESCRIPTION OF WORK: New Addition Remodel Moving
Size of Lot 1�� � X f77, -//D k /I4• sg.
Stories / Dimensions
Rooms the I Basement
(� (Full, part, no
Heat. yste fl', �:� Type o
Use of Bld ✓ . /,-
Draw sketch with dimensions `hotting: (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.
1'
Fire Z
age yste onst.
P X U �Fr., C Br., etc.) it, e()/ U �X � /� 6 a� Total Sq. Ft �,dj 74( ValuationG
Foundation Const _Chimney AQ 4' • Fire.Iace
/7/ (Kind) (Numtfer�
Ext. Finish Int. Wall Finish i
No. of UnitsABedr..'
Roofing
4-
4 -ca -k— 4434
I hereby
as shown.
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUID
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
rtify infostion sub itted is correct and there are no other structures located on this property except
1.0 Z /l — / — 77
Owner or Ag nt Date
A LAND USE OR STRUCTUR ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9,u-141_42.12 (i0
DO NOT WRITE BELOW THIS LINE
Your street address will be E41( 7d .5 -O 7 •� .1.-da(-/�!1—
Sewage Permit Number tQf
Remarks
Issued
Bui ing Permit
The zone
V / Receipt 7
7/ Issued
Form 523 Bldg. Code