1977, 10-17 Permit App: M3815 Duplex T -__ �"
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.. ZE00
REQUIRED.( PERMIT A land use or structure permit is required by County Resolution to erect a building or.structure of any
2
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.
AP LICANT FILL IN BELOW THIS LINE _
Name of Owner ir/!`itt .,�/- Address-- i� '‘.0_ 0 .. Phone 'flw 4S-,02.-,
Architect Address Phone
Engineer Address Phone
Contractor Address
Phone
Legal Description of Propert (Give complete descriptiop-from deed, tax receipt,�e c ) arcel Number
L f -42y�!O 0.,X .=:•ZCom' Qt)%,ez co 64'L//`,S D
ye. ) 7 - /il,J,( — //, f
DESCRIPTION OF W K: New Addition Remodel Moving Bid Zone , / Fire Zor e
Size of Lot .1,5' k /- S_ 9 / Sewage System Const.
1J / / (Fr., c., r., etc.)
Stories t Dimensions 7( X eQF ��C� J tal Sq. Ft.'4 .S' ' Valu io '
Rooms Baths ,2 Basement t' Foundation Const. £-6--kuo ti p j Chimney `! Fireplace -�
r"" (Full, part, no `1"I` (Kind) (Number
Heat. System 0 slb Type of Roofing ' i, a Ext. Finish 77 -- ii Int. Wall Finish
Use of Bldg. a , . .a , I. 4 . .M ,,% km-.... No. of Units2.-Bedroom il-
C L
PLOT P /N
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.
NORTH State L' ense No.
Ceo-L, l -L. 3,4?I/ ;a 3 -p 1
Ind. Ins. Acct. No.
RESIDENTIAL,COMMERCIAL
REQUIREDIR
Plumbing Permit .e- 4�! t-/
All ni
1 In Heating Permit _./i a s'
PI
us Sewage Permit 1_ I_
ca
f
(isle,,,,,,/r4 ,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
`r SOUTH
D I hereby certify information sus..."ted is correct and there are no other structures located on this property except
( as shown.
d > _ i,,' d
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0-.,,,, . '244.4441-Z DO NOT WRITE BELOW THIS LINE
Your street address will be 7/ if 'P-'5-d+ ) ,4 � 4d The zone is 2- -
Sewage Permit Number Issued Building Permit Receipt �'V/ Issued
Remarks ,, 3$/s
Form 523 Bldg. Code
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