1977, 04-28 Permit App: M0934 DuplexAPPROVED AS NOTE
Spokane ou Bldg. Code De
Date
by
BUILDING COD
GENERAL
RE
nfy Spokane, S okane, Wasgfon
DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
ON FOR LAND USE OR STRUCTURE PERMIT
QUIREMENTS 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
Name of Owner �' ( S �, r J r' i « / r Address �' = J� - i C Phone
Architect Address Phone
Engineer }Address Phone
Contractor I J ', /_ S ,C : / i ir y t Address Phone
Legal Descripti of Property (Give comple e description from de d, x receipt, etc)
r%1 96' . Q.IJ,.� is '%I 'k �4. --/ f/0
6 I G5-,341 ,, _d k: 4
47,1
-O�
DESCRIPTION OF WORK: New
Addition
Size of Lot 76
Stories S ,(Dimensions 2L r76
Rooms' Baths) Basement( 'Foundation Const
u I, part, none
Heat. System '--<„k Type of Roofing (' �: 4 r Ext. inish - / I
� �
Use of Bldg. ;IC�Zit(,�1) L ctL- j�' /.�.��_(�'t_ tt1-r
l 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.
Remodel
Moving
Sewage System
Total
Bldg.
Fire Zone -5
Const. ✓' of
(Fr., Conc., fir,., etc.)
Sq Ft '17/06-‘5' Valuation
Chimney/dam t1:7C1 Fireplace -'1 �', '
(Kind) _• (Number,-
Int. Wall Finish � '-i"/z '--W (
No. of Units _ Bedrooms
1
m
N
y
NORTH
RESIDENTIAL - COMMERCIAL
/3c)' A_:
.-
SOUTH
m
-)
State Licen a No.
Ind. Ins. Acct. No.
REQUIRED
Oti7
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d!hereb certify,�ihforp Ston submitted is correct and there are no other structures
as sown. C
Owner or Agent Ia e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
SAA -31 DO NOT WRITE BELOW THIS LINE
��
r )
Your street address will be (�� _ Cy'___ C rt.
Bu ldin mit
1+ ated on this property except
Sewage Permit Number Issue
Remarks
e zone i
Receip
Form 523 Bldg. Code