1978, 09-11 Permit App: N0506 DuplexCou% of Spokane. Washinton o D
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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. Con-
\„ struction must have inspections.
t
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 building (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
Address p `.!i - Phone 9?8--G>472
yllp -99 2/1
Name of Owner
Architect .
Engineer_
Contractor y�.q2-vzLt
Address_ Phone
Address Phone
Address - Phone//
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 3c3 T3/c2` 9&f4I 9//4t-- qe 64.
9egt7
(v r 5' fl/ -K c2 C' as e
DESCRIPTION OF WORK: N,ew/ _ Addition Remodel
Size of Lot _ 90'1) /-CX
Stories mensions 4 XQG Ir X - -��""
Room aths� asement - l� Foundation Const. t kl-d-1 4p) • Chimney) rep
(Full, part, none)
Heat. System 9��fi//f Type f'f Roofing ..9-2.441e . Ext.r inish T 1//
Use of Bldg. .,le ..w�/ . ,,/.e.. d -.k. .4 /, if .. _ _,. f
ROADWAY R/W WIDTH SO/
Moving BI g. Zone .72_ Fire ne
Sewage
System%LQyQ CFonsConc., Bti
Total Sq Ft o1..-010 (Valuation ,of 4AZ�� I
i
(Kind) (Num er
Int. Wall Finish
No. of Units Bedrooms 42.
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
riI hereby ce
-" as shown.
SOUTH
on submit
Owner or Agent
State License No.
Ind. Ins. Acct. No.
CESIDENTIALt COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTAPERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
C-AAJ 74as, DO NOT WRITE BELOW THIS LINE el
Your street address will be e —/ 7 -[1(
Sewage Permit Number Issued Builli.g
Remarks
Perm
e zone is 2.. et.441,4e-Q__,
Receiptsrff&_3 Issued
Form 523 Bldo. Code
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