1977, 04-06 Permit App: M1229 Duplexnfy Spokane, S okane, Wan9g ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT lc
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ann
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
Architect
r/
L
A •
Engineer
Contractor
1 0 2Z-ur34P-'
Address / r Phone
Address fey/ e)1 A e -Z-.2, Phone
Address A7383✓ Phone
Address Phone
Legal Description of Proper/y, (Giv omplete description from deed, tax r ceipt etc )
6 ,hhc / ,54e it' we cid foifpsr7
o .� ' f2 keel / # 6."5"-5/3 - 90 _ 7
fig c � A
DESCRIPTION //Wf`ORK: New ^ Addition Remodel Moving Bld Zone Fire ne-
�e of Lot t/ X /L$' Sewage System ���/ C const. ��%��
/: f 6-4 ILA , /
(Fr., Conc., r., etc.) Q
Stories Dimen o/n�s C J U / Total Sq. Ft. = - Va ation
Rooms /0 Baths _ of Basement Foundation Const 2�%»C� %"� Chimney ��" Fireplace --T—
�1 r
(Full, part, none L �/ /' (Kind) (Number,
Heat. System F. i . TypeSAPee_ Ext. Finish zikod Int. Wall Finish l (ti)
y of Roofing � 1
Ureof Bldg. p(f p /L)( IV ,477-11j61) 7Q,e6.?e.5 No. of Units s2 Bedrooms
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. --_,``
RESIDENT!
NORTH
— COMMERCIAL
A-rT�cNE-o
SOUTH
I hereby certify info tion submitted is correct and there are
C/ r( ZJJ
as shown.
Owner or Agent
m
-i
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit /�' �/ • /'
Heating Permit A l(PJYl 6 r T
Sewage Permit CO ,e
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
/7- 7;7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tour street address will tre /3So�. 2 � fi�C .
�-1,�.�L � .�-- � The zone is��-
Sewage Permit Number Issued Building Permit / 3 Receipt gS75— Issued
Remarks hL4 a ,r
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
%7L 6/CC",.\---1
/
L.
eWOOd
90
(,0