1979, 03-19 Permit App: N2255 Duplex•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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. 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 t ILSi�E p Q.f S >eS 44ddress ') O I E S p aAW
Engineer Address Q Phone 2'y' v00
Architect Address Phone
Phone
Contractor R Address Phone ---
Legal Description of Property (Give ompletg dgipti frpm deed, tax receipt, etc.) Parcel NumberFrilZ�4."-f
l.c�T S.1Ve k ��dot -cid/• '
cxer
ROADWAY R/W WIDTH -A4 ,...----- ..-'" 3
DESCRIPTIO OF WORK: New Addition Remodel Moving Bldg. one Fire ne
Size of Lor R.t.AStk\-Iile—. �l Sewage System "'-O �onst nc., r., etc.)
Storie_DimensiQns Z.4n(o / e"407 KA,Xi.481- C4 SKI° al Sq. Ft. Valuation inSj�e,
Rooms Baths fi Basement _4.t1 Foundation Cons Ca O4-- ChimneyW eT L Fireplace
pp Fu 1, part, none (Kind) (Number
Heat. Systemlag el`�` Type of Roofing L0,'v v ) Ext. Finish 1 it 1 Int. Wall Finish es bk(
Use of Bldg. �LIStIt9r No. of Units? Bedrooms 4
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
a
as sh
.az_ TX -111-2,-0
e 'y ce
SOUTH
information subm
ed is correct and
Owner or Agent
A LAND USE OR STRUCTURE PERMIT
THIS IS NOT A PERMIT. D�
L10
State se No.
� U`
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
ut Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Mailed
there are no other structures located on this property except
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
OT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issue
Remarksy
(....0EA41,4131_, r J
The zoneti
Building Permit N .d-Receipt'il Issued
/1r
Form 523 Bldg. Code
West Volley Excavating
Mike Bascetta — Joe Bascetta
S. 812 DISHMAN RD. ■ SPOKANE, WASHINGTON 99206 ■ PHONE 924-5130
■ WATER LINES
■ DRYWELLS
■ BASEMENT DIGGING
■ PATROL GRADING
■ SEPTIC TANKS
■ LAND CLEARING
■ FILL & BLACK DIRT
I