1978, 01-27 Permit App: M4699 Duplex4
f
County
of
Spokane,
Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ---- J_��o_..: .
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
Name of Owner (2 Address 128`0y Ad -`CCS. 01V-&L')r. Phone " /+LEILf2–
Architect Address G r eE' n 1-16 i-e'S , 1c - n y9O/4 Phone
Engineer Address Phone
Contractor& r -I e f t S Gin • <2 E+ n Address J F0 y X11 �`CcL Z);e— 40 Dt- Phone yA -V
Legal Doesgriptian of Pro rt in complete des tion fro deed, t x receipt, etc.) Parc Number -f �Sy�:
14 .5 AA1
DESCRIPTION OF W • New Addition Remodel Moving Bldg. Zone Fire Zone 3
Size of Lot � X Sewage System sem ��'C +1�Const. A"ra_ rn e
Conc., Br., etc.)
Stories Dimensions ;2 Total Sq. Ft.o;? 3 Q Valuation - 5, 0 Q 0
Rooms —2_ BathsBasement % Foundation Const.. ed n a Ye- -t F'- Chimney-* c�� *ireplace i
p ' Fu 1, part, none (Kind) (Number
Heat. System L? 1ImoType of Roofing a +� �� 6Ext. Finish %^ i/ '- / j Int. Wall Finish Sh ee f��'7 K +L Pvw,7 �
Use of Bldg. DIA.92 1 e_ X T 42a 42 Z z � 0_. / No. of Units-'XBedrooms
V 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 sunoly lines.
NORTH
State License No.
/- 6-C;X-17/L
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify f mation submitted s correc nd there are no other structures located on this property except
as shown.
er or Agent Date '
A LAND USE R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
A DO NOT WRITE BELOW THIS LINE
Your street address will be lQ S The zone is
Sewage Permit Number Issued Building Permit Receipt ZZ?_/011ssued
Remarks
Form 523 Bldg. Code
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