1976, 04-09 Permit App: L3309 Duplex• •
Canty Spokane, okane, Washgton
P
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 8900
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 mast 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
I 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 / / �' Address G. 7
/7 Pin e .7 fin
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Descri tion of Pro erty (Give complete desc iption from deed tax receipt, etc )
/�_o 1/ /oc/S'' A� .5 Tonejr, cJ f? Si -C6 Il/i siDit
Ne ,Q 7?/ (2.3 Pe-reI.
(2/-t
,PAA4',0-12 a ei 3-1/
9.2e -Vpo
DESCRIPTION OF. ORK: New X Addition
Size of Lot
Remodel
1
Mov'ng Bldg. Zone / Fire Zone 3
dwage System S fi e. Const. 1 it of P
Fr., Conc., Br. etc.)
Stories Dimensions 7C'X / X a �7 Total Sq. Ft.43 L Valuation .55 �0d
Rooms 7 Baths .2.r Basement Foundation Const 1 —•oJ� _ rete, Chimney Fireplace
/^ n (Fu(I, part, non �f ,/- (Kind) n (Number)
Heat. System /C O. f3r Type of Roofing c-Dhm pe)51 //On Ext. Finish / !it 5Dh i� / L Int. Wall Finish (017 Av.t //
Use of Bldg. D L�- % P j( / W S l_ t4� f _ No. of Units 2Bedr6oms i4
P P �_
d r/'Ye. -r,.-�C _ Ce -/7 Z-4 PL T 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.
m
1
NORTH — COMMERCIAL
� J/ce1
SOUTH
I hereb certi in rmatio sub$tted is correct
as shown. /��j jL ��
2 ,, , c4
Owner or Agett
State License No.
r2.23--0/--YV&3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
710
iA
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
,p7no other structures locate on t, s propertyiexcept
Date
A LAND USE Oit STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CON RUC ION COMMENCES.
THIS IS NOT A PERMIT.
(3,v6 141/14,2 - nn
Your street address will be , 27 Q / -AL3
DO NOT WRITE BELOW THIS LINE
The zone is R�•
Sewage Permit Number Issued Building Permit o5369 Receipt Issued
Remarks
Form 523 Bldg. Code