1976, 08-27 Permit App: L5582 Duplex• 1111
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �j
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. 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 44274p
Name of Owner .P,2f1 /V_. x<C.Z.44,(.( Address / 36, 4 Phone
Architect Address Phone
Engineerpp Address Phone
Contractor oC1.GZr✓A/ . Address �j Phone
Legal Qescription of Property (Give complete description from deed, tax receipt, etc.) i�-CQQ, % ~ 2
A dt / / n�_k r;2 1.-.J ,
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot r -/f it -�3--- % l) �' %( / -3 4" 1
r /
StoriesDimensions,V-%X3? 'C X.2OXo7-t 21,,,X.ii
Rooms_ gd" Baths I ACEI Basement ` l / QC Foundation Const 011,--a-A447
Full, part, none
Heat. System F`D ,Type of Roofing
Use of Bldg.
M Bld�. ,£Zone u-;, y Fire Zone Lc.
Sewage System --"i u Const, y ^
(Fr., Conc., Br., etc.) d0
Total Sq. Ft 9'6 Valuation ;�Q 6.00
Chimney NA Fireplace V4
(Kind) (Number
AJ�n/
o4 R4_I/' j Int. Wall Finish
!! No. of Units _ Bedrooms A. ,a4CN
oving
Ext. Finish
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-
Iem and water supnty lines.
m
.1
ole- Pi yfl;NORTH
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4Ci tl$c.
G:tr
(RESIDENTIAL - COMMERCIAL
3-v
SOUTH
I herebyy�- ertify /nfor conn submitted is
as st>to%un,�' ` i� 4/r�Ii/7u ft �- 7 — 77
J� Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
correct and
there
REQUIRED
Plumbing PermitV
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures
located on this
property except
DO NOT WRITE BELOW THIS LINE
Your street address will be e ! / i 4 i i7( /t/9t-A r .'�� The zone is IcC 'W► 0 p4.
Sewage Permit Number Issued Building Permit 01 Receipt3.?" ..S Issued
Remarks
7/9 J-
/77/7
///)/?
//77t/
"7 9-42
(17