1977, 03-11 Permit App: L7415 Duplex Ctinty of Spokane, Washington
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.
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.
�/ /,, APPLICANT FILL IN BELOW THIS LINE � .0/
Name of Owner 1�'�7 DeI' /O DIN eIi f CD. Address 0 jPKone fl '-gsvi
Architect Address Phone
Engineer _ j( /� A Address it II Phone 11 c� e or
Contractor �l/ DCV�./bflYi1 e.14f L.D. Address S'I M a Phone f•7
Legal Descr' tion of Property (Give corn lete description from deed, tax receipt, tc.)
4 e f 4/ �C,h d �",f L/OG/1 A�l �p 1'Y B p S%J PQw C�
Parc e / - AOSyy— / 7.29 ///20-2.2. S. Wa/nk,7'
DESCRIPTION OF WORK: y e
Newt' X Addition Remodel Moving B gam. Zone,___L_
/ Fire Zone 3
Size of Lot / O °' A A59. # Sewage System ti const. Fr.1-/Wr e.�
�j /y / 69L Fr., Conc., Br., etc.)
Stories Dimensions /a X��.AV Total Sq. Ft. / �9 vjluation
Rooms 2_Baths Basement 741..Y/. Foundation Const.. COP;Gr f_f'e. Chimney/"/e / Fireplac�l���'-,$7 C.
Fu I, part, none) n -�-' (Kind) (Number J
Heat. System . leCtl'IC Type of Roofing ` O Ext. Finish l . i/, ` Int. Wall Finish WR /1 604 r
Use.pf Bldg.DK.p/eX et,1.1 ellrt.r'eyC R Q.0 heel k}te �-Clee/- No. of Units&Bedrooms.Z enc 4 sae
J-
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.
NORTH RESIDENTIAL-COMMERCIAL State License ]Noo.
r 40 .- s 7f
.ZAll
Ino. Ins. Acct. No.
02,5 ?.. P%71 at .
r ,
REQUIREDUI
, ,,,,- / / Plumbing Permit /Oh T/. *I41
m Heating Perini j
m �
to co 0 Sewage Permit/T h WLL/4".✓
-I -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer information s •m -•d - correct and there are no other structures located o. this property except
as shown. /,
_..��i./�. / _Ire: L/
Owner • Agent Date
A LAND USE OR ST'•}1TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
/ THIS IS NOTA PERM .
/i.,, - 4/ricj6 DO NOT WRITE BELOW THIS LINE
Your street address will be / ..1.!', — ��- ' ,� �/��//�4,_,r � -
! - The zone isi.� �/.0<� :1:6g,g4f
Sewage Permit Number Issued Building Permitji 7`O Receipt 41A).:2 Issued
Remarks
Form 523 Bldg. Code
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