1978, 07-12 Permit App: M7266 Duplex• 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
POQ-
GENERAL REQUIREMENTS PERMIT FEE _____ jz_5._-___.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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.
NATER. Nater 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 F 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 Depa
Ortment.
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 14A`,1dmN L&t= . I L> 83535
Name of Owner JIM L- CA?_NEY Address R -i 3 Ody 13-8 Phone 772-`558'-
Architect
Address Phone
Engineer Address Phone
Contractor _SA Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number POV,—T- Or- 20543—g02%
L_0 6X 1 S 1=0
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone Fire Zone 3
Lot 90� (3uSewage System St%P77C- onst. di F9690 A
Size of Lo
�tJ / Rr., Conc., Br., etc.)'
Stories `'/.-Dimensions I X :7A Total Sq. Ft. 05 Valuation$_ ra 1 000 Y
Roomsis Basement Foundation Const. �O�tLTE Chimney -P1�—� Fireplace E+� `
—` Fu I, part, none (Kind) (Number
Heat. System El-r—C-T F.A4 Type of Roofing :5/+Xk F— Ext. Finish LVOtla Int. Wall Finish OL�WA(—L
Use of Bldg. 1i DU PLIC — A—T-76c,14MP <Ak&6MS No. of Units Bedrooms 2 IcA
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 sed streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
K�!7-PLAC IF_s FT-, W (T N\, rJ 5'21
SOUTH
State License No.
o <_
Ind. Ins. Acct. No.
RESIDENTI — COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
#/Q/,7k 4A44 °
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. X
Owner or Agent Date t
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�r DO NOT WRITE BELOW THIS LINE
Your street address will be --5. /.
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
The zone iis_rW�
OAM4 RAS
Building Permit Receipt /l
t`tj7 Issued