1977, 04-06 Permit App: M0520 DuplexiiCanty of Spokane, Wasigton
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920 J �
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE r
GENERAL REQUIREMENTS
A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or
alter alb building or structure already erected, or to change a land use. Construction must conform with the
any
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
ounty Roads, permission mut be obtained from the County Engineer's Office.
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
5.
SEWAGE SYSTEM. Permits are required
ds�nzaall
cases
undeCounty
r t Resole i ns Nos.
s, a se 133 a f4. 3the front property line, of at
d
SET -BACK FROM PROPERTYir, LINES.Ie m
least 25HI is required, a 5'side yard, 15' sidyard hwa9 clearance must be obtained street, and a , rear yard are required.
pertaining to set back and ingress
STATE HIGHWAYS. Where the structure abuts a State
r.
and egress. not be performed until staked by County Road Department and work must be
performedeROADS.icork on streetitakes. Points
ny may
in accordance permitwith stakrequired to move ean existingsbui ding. When oaebud ilding is moved ony the Cotuaty naeCounty or State
MOVING OF BUILDINGS. A ois r q
Highway, clearance mut be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
tion. County Officials can not bring action to enforce covenants or dedications.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
c
which are enforceable through civil
APPLICANT FILL IN BELOW THIS LINE r,
Phone
Phone
Name of Owner
Architect _
Engineer _
Contractor
Legal Description of Property (Give complete
S
DESCRIPTION OF WORK• ew
Size of Lot
Stories. Dimensions
Rooms -t= Baths Fu Basement Foundation Const..
Fu I, part, none
T ng 4 �� fExt. Finis
Heat. System L ype of Roofi
description
Address
Address
Address
Address ---
rogl deed, tax re
ipt, etc.)
3 •"� Phone
Phone
Addition
Remodel
Moving Bldg. Zone _ .L-- Fire Zone
Sewage SystemConst.
(Fr., Conc., Br., etc.)
Total Sq. Ft. . aluation
Chimney Fireplace Numb
(Kind)
h yZ,L'C_ Int. Wall Finish
No. of Units.. Bedrooms
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
propety and
linesrandlstreets; (5)rdimensions of buildings; d loctions; ((6)3) llocation ofocation of existing
ines; (2) sewagesys-
RESIDENT Ls— COMMERCIAL
I hereby ce
as shown.
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit `i/
°'
Heating Permitra-
/�J—�'��
Sewage Permit [-" "`
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
information submit ed is correct and there are no other structures located on this property except
— 77
f / Owner or Agent C'.„7-- Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,16es? f=1- DO NOT WRITE BELOW THIS LINE
Your street address will be /, D 4.-U4,4-,,z1� The zone is
Sewage Permit Number Issued Building Permit /)j 5 -) Receipt �P�/-5 Issued
Remarks
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