1977, 04-06 Permit App: M0709 Duplex4
Canty of Spokane, Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
•
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '5 4 '
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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
Sighway, 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 _ ' 67A Address it • / . / /Phone T7,1 -L33716- -�� J5
Architect Address �9i (3 7 �
�Ciire Phone
Engineer Address e?3,5- Phone
Contractor 54 /lig. Address Phone
- _
Legal Description of Pro erty (Give complete description from deed, tax r ceipt, etc 1
f `% Oce �/ ,5"-he4 Le?npc o�'eS5i '
7 e711#34 a PA,e Ce / # �o ss<,3 90 .J `7
DESCRIPTION OF WjOR�C:New ��Addition
Si 7 of Lot 9V it . 7�1 l.�p
A n C `? LJC✓ 'it' !d /
Stories Dimensions
Remodel
Moving Bldg, Zone Fire Z
e
Sewage System eP7LiConst. eA mc.
Fr., Conc.,Br., etc.) po
'n �r
Rooms �[ CL. Baths Basement AJL pFoundation Const Corn e.lei.
� (nFull, part, nonce ��JJ
Heat. System (p ! ' H. Type of Roofing 5/V4/Yt' Ext. Finish
Use of Bldg. J/L (.. p / i( L[J/ 14 ] 4C h',W 9,14121191e5
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 add streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
otal Sq. Ft.
Chimney
kkod
Valuation
Fireplace
(Number
(Kind)
Int. Wall Finish
No. of Units
Dey it)
Bedrooms 7
NORTH
RESIDENTIAL — COMMERCIAL
4774c1/FD
SOUTH
m
V►
State License No.
Ind. Ins. Acct. No.
REQUIRED
TcrB
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify infor tion submitted is correct and there are no other structures located on this property excel*
as shown.
[Gtr (/ ti1----7-7 ex
Owner or Agent
(- 77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(J
'34/4;Lfh
Your street address will be 8 j
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued
The zone is - 'N` -'Y
Building Permit 4' o? 0 y Receipt g-:.-5-As-s-Issued
Remarks
Form 523 Bldg. Code
20
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