1977, 03-23 Permit App: M0081 Duplex TT _
Cadnfy of Spokane, Washy igfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT SV
GENERAL REQUIREMENTS PERMIT FEE CJ '
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 wit) the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
il WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections dist rbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the Coun '
ty 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.
i 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 en orceable through civil action. County Officials can not bring action to enforce covenants or dedications.
..J o��n gii.
7TAPPLICANT FILL IN BELOW THIS LINE e,�T 4,) Fyo/y
Name of Owner am? / ..�, • Address It-_ s. /i. ,., !� Phone r7.S - 6 76�C
Architect / Address Phone
Engineer Address Phone
Contractor Address Phone
Leg:i1 Description of Property (Give complete descr•ption//f�rom deed, tax rece e c.) _i /. / •_ ...di ' - . --dr
DESCRIPTION OF WORK: New ''Addition _ Remodel Moving BI g. Zone / Fire ne �:?•
Size of Lot //Q.c.- A'/ 4 Q Sewage Syste r7+onst
(Fr., c., Br., etc.)
Storie Dimensions 4:9X_X Total Sq. Valuatio
�f� y �G Ft.nom_ ,r Yfre6
Rooms ids cement Foun ation Const: Chimney.2 Fire. ce
i Full, part, none_ _ Kin
(Number
Heat. System .� 1.. pe of Roofing IP/L.. Ext. Finish
'"' / I / Int. Wall Finish i - . �. -��
Use of Bldg. ��!1-. ��p Q Q No. of Units_Bedroom, 4,-" t
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.
NCT4I RESIDENTIAL – COMMERCIAL Stat Licen a No.
(o 5 // 77 o/.
Ind. Ins. Acct. No.
S\
REQU
Plumbing Permit .a '.s _.. —
rn Heating Permit
ina
to sn Sewage Permit
/6 — (At" k
Plans Received
Plans Checked
r T� Plans Returned
Plans Picked Up
( �+ Plans Mailed
1
SOU& " -4-'
I hereby cer 'fy information submitted is correct and there are no other structures located on this property except
as shown../
L__ / --ez—, 3 —0
Owner or Agent Date
A LAN ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
} THIS IS NOT A MIT. ,..-1
l �`s-A� -'' e DO NOT WRITE BELOW THIS LINE i
Your street address will be dllIl . c / ,�-
_i-,..40, ' The zone is /;,%i' , _. �
Sewage Permit Number Issued Building Permit 0 , I'Receipt / Issued
Remarks ` ,
araa _ r'/� ejra41 NM I PR tla ice. ii I Pi Ill FA r
Form 523 Bldg. Code
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The Sc4/ih+ /05,0 feet o f -foie North 3zo.a ee f �z\i '` '�,",,'.:`"
Co-1 Lot 4 /4/'C/ 4 ale ' 5e See7�7'ct s Addition on ca�� ' 7!'`. ,...'
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