1977, 10-17 Permit App: M3812 Duplex County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 06
GENERAL REQUIREMENTS PERMIT FEE.__ ,J•
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
CSpokane County Building Code and Zoning Ordinance. Construction is subject to inspection. }1
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs Q
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 d 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back 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 , � 0/1,0 -) Addres ` G'i i C4!.. � _. r .. Phone , i'147 -t -475-14;?
Architect I Address Phone
Engineer Address Phone
Contractor s- 72e.} Address Phone
Legs Description of Pro y (Give complete descri tion from deed, tax r ipt„etc ) Parcel Number
(1.-, .i'`n .7 f°x'_r - ---- / 5/ / //
/.
DESCRIPTION QF WORK: New Addition Remodel Moving Bld . Zon / Fire Zoe
Size of Lot ,ll/lLA . OP t..) / .14Sewage System _' J Const.
. B etc.)
c 1
Stories�Dimens1ons 76, X Q ( ) e Total Sq. Ft. .S Valu on �jd C��')
Rooms 7 Baths .2 Basement ] Foundation Const.
� Chimney Fireplace —
(F II, part, no -{ (Kind) ,J (Number
Heat. System ( . , Type of Roofing Ext. Finish 1 1 —11 Int. Wall Finish r'C/4-� iJJ J,L/
Use of Bldg. ( ) pi-L4.40.) L,�t A AJ No. of Units edroom� �-
/` PLOT PLAN d
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 icense No.
C.uo—i-_c— 3 . • - 3- /
Ino. Ins. Acct. No.
RESIDENTIAL COMMERCIAL
REQUI•ED
Plumbing Permi £_- :
s. .i �,
/ m Heating Permit i /' i4 //=1_J..
tn tn Sewage Permit I. A. _ '_1. ./
'♦ -.I
if Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitte s correct and there are no other structures 1 ated on this property except
as shown. A,
/4e / 7/7?
COwner or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9AiL, -74,(A, DO NOT WRITE BELOW THIS LINE
Your street address will be 2 `'II.,.”L a• .x ; ' ' t -� .ftp
The zone is �-" <9:61.44,4-,.4-1-4---
Sewage
Sewage Permit Number Issued Building Permit 3X12- Receipt 6 9.✓;3 Issued
Remarks
Form 523 Bldg. Code
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