1977, 02-22 Permit App: L7048 Duplext
1
Canty of Spokane, Wase9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 enfo�ce cov nts.,_or dedications.
APPLICANT FILL IN BELOW THIS LINE "ac
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=? 9 /
Name of OwnerAe9.1"-Y JA- 3/ (,/1Address &---V-T4-', ...3 *i p. phone -2 ' `��
Architect Address Phone
Engineer// Address Phone
Contractor %;L /. 7Af- T19�- �; m i.,' Address Lest 7`13.V.5 e'ff- %?/ ,r Phone f2 722 -5'
Legal Description of Property (Give complete description from deed, fax receipt, etc 1 l L/ i -- / 2C'
7-0 /Irt Tc /I/ =3 oAtS
DESCRIPTION OF WORK: New (‘ Addition
Size of Lot /`/2 X /
Remodel
Moving Bldg. Zone ,i_— Fire Zone,, -`4
•
Sawa.: System S 2770 �7+�+ onst. fri ri/7?es
(Fr., Conc., Br., etc.)
`'� Total Sq. Ftp Valuation -5-4; 0-O-7.,
Chimneyfii%/4G Fireplace
0(Kind) (Number
Int. Wall Finish �124y«fIC t
/41719er 4 e7,9,0' /her No. of Units Bedrooms 2 fA
Stories _i____Dirpensi 4219
o
Rooms B the / 1/z-""Baiement irtat- Foundation Const
(Full, part, none)
Heat. System c'WES Type of Roofing �'/1 -,
Use of Bldg. 4 ilk
PLOT PLAN
e-C%ac_
Ext. Finish 71-1/
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.
rn
1/1
NORTH
SIDENTIAI, - COMMERCIAL
SOUTH
I hereby certify informatio submitted is
as shaven. -
correct
Own or genu
State License No.
72_ 3 —c? ( �• �'. S 3
Ind. Ins. Acct. No.
`/ "- ‘-"J;
REQUIRED
Plumbing Permit
n+ Heating Permit
310
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this propv4yeexept
-77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be f', > ; - G; /., r!J/
Sewage Permit Number Issued Building Perrdi b)t''
Remarks
The zone is 45?.
-ef-'i1
Receipt Issued
Form 523 Bldg. Code
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