1977, 10-17 Permit App: M3834 Duplex County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT di CO
GENERAL REQUIREMENTS PERMIT FEE._ 7.4R.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any D
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with the
a 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.
• PLICANT FILL IN BELOW THIS LINE
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Name of Owner Al .r.' _ %.I A \ Addres — -.001-• .r ' e". .,. I - Phone 9 eP" ---S--9,0:i
Architect / Address Phone
Engineer Address Phone
s- - /
Contractor lAddress Phone
Legal Description of Propert ( ve complete descript' n from deed, tax rece t pa/cel Number
4 0 , /€e�.� / �ei. 7--i2 z O/. O�s'.`c?
( y. h ��-,rJ ? 2C�/ a 1/ ./,...5-- i-/ `__//...v
DESCRIPTION OF WORK: New xi7Addition Remodel Moving Bld Zone . / Fire Zone F
Size Al i
S ze of Lot,1141,1„. / A2 t rG� Sewage System / FFr.sC c , Br., etc.)
Stories / Dimengons II A _ Total Sq. Ft.e66�` � Valu off 00 Dee
Rooms Baths a.j� (Basement e42'" Foundation onst. e-P1'je�f , Chimney � Fireplace
(F I1, part. norm ------(Kind) ,,,J4-(Number '
Heat. System T pe of Roofing IL._ a Ext. Finish 77 / / Int. Wall Finish GL' L -L' / ./
/
Use of Bldg. L ,a. 41!. iimy , -, ;i _ No. of Units Zedroom
6j PLOT PLA '
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 Mingiffirit
i
Ind. Ins. Acct. No.
RESIDENTIAL— +MMERCIAL
REQUIRED
.yuj
Plumbing Permit
mHeating Permit
N
1pZ 30
H Sewage Permit
s
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informat submitted is correct and there are no other structures located on this property except
as shown. 10/'JyL.� s
Owner or Age Date }
fi A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
)
(c:,44rdetp g_ DO INOT WRITE BELOW THIS LINE
Your street address will be 24/2%;:+- i µ t` r e zone is 1.-' ,Lila :- j.
Sewage Permit Number Issued Building Permit .N Receipt ,e...-..1.:j Issued .
Remarks
Form 523 Bldg. Code
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