1977, 04-06 Permit App: M514 DuplexC1111nty of Spokane. Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 54''--
GENERAL REQUIREMENTS PERMIT FEE
or
e of
kindITrEQtlistructure
prsrequired yucResolution
erect
nrthe
Sodoalter any bulding orstructurealeadyerected, ortohangealand use. Constructionmust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
ttheEsurface, sho. Water ulderssorbditchesvof County Roads, permissionand State ealth must bepobtained fromre theork on Countyater Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SEastACK FROM required, aLINES.
5' side yard,zones
15' side yardrfrommost
acflankingnstreet,set-back
25' rearthe
yardfront
areproperty
requiredline, of at
leastSTE 25'clearance must be obtained pertaining to set -back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway,
and egress.
COUNTY formedOinSaccordancestreet
stakes.oPointsmay
of ingressperformed
egressntil muststaked
approved byCounty
theRoad
Co Departmet and
work must be
Me
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.
which areyenforce enforceable Buildersld check
Countysions Officialsf ocanants or not bringaactionntoand enforcements covenantslng with the land
or dedications.
APPLICANT FILL IN BELOW THIS UNEPhone 7,1" 6:516 _
Address it ' o • Phone /
Address I1 -Ma% "-'A II a
Address i 1 Phone
Address Phone
Name of Owner
Architect
Engineer 1
Contractor 5H
Legal Descriptjon of Proj erty�r(Give9omplete descn tion from deed, t x receipt, etc.)
o < 6 f ,ec ,' 1;6
DESCRIPTION OF y R:New l ,Addition
S -i of �c'A /2Cth yy((�� / 6
Stories _Dimensions qU iX "' _
Rooms /0 Baths . Basement /)D111t Foundation
�(F/ull, part, none) �����
T, A . Type of Roofing
plc), i< )97,74rNF
Remodel
Moving BIS. Zone Fire e
Sewage System
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
.4
NORTH
onst. P,1E
(Fr., Conc./Br.,ettc.))QC
/7r /� Total Sq. Ft. / Val ation i#0,5
Const ` A/ie Chimney (Kind) Fireplace(Number
Ext. Finish let)Oo d Int. Wall Finish
No. of Units Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIA — COMMERCIAL
/9 774G'fiEp
SOUTH
I hereby certify information sub fitted is correct
as shown.
//k/ ,
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be /f/
m
State License No.
14(
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
77
Date
DO NOT WRITE BELOW THIS UNE
Sewage Permit Number Issued
Remarks
The zone is ��✓ .%L-
Building Permit /I'i 5/'/ Receipt X..5-15- Issued
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