1976, 08-03 Permit App: L5160 DuplexCanty Spokane,Was"fon
Wash ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT p
PERMIT FEE 0 922
GENERAL REQUIREMENTS
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 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LIME
Name of Owner Address � �� �� /'-/-1��0 Phone
Architect Address Phone
Engineer
Contractor
Address p Phone
Address S • 7/ 7 P-4 VL. � Phone
Lega De cription of PYoperty (Give co p ete descr,ipfon from deed, tax re eipt, etc )
A/.ajos--o7 ed.-4(422e_col
DESCRIPTION OF WORK: New X., Addition
Size of Lot 42-,-)C, / A. ,`2Q
Stories I/ DimensionsoP/'%( %C�'� k,�''(� 2._:
Rooms 7 Baths 2- Basement Foundation Const
Q (Full, part, none
Q p Type of Roofing f
t 1Lfk(' v q -r4/-
Remodel
Heat. System
Use of Bldg.
Moving Bldg Zone .� Fire Zoie
Sewage System it Const.
g (Fr., Conc., Br., etc.)
—�J--Total Sq. Ft.33 C•-�;) Valuation ad 0
���_s �a Chimney Fireplace
9 �p ,, (Kind) �p dtfi umber
Ext. Finish (�C� l Int. Wall Finish �¢Q
PLOT PLAN
No. of Units.-2Bedro s
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.
m
NORTH
(RESIDENTIAL — COMMERCIAL
I hereby
as show)
SOUTH
State License No.
=3-o/-4) F-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
certi y information submitted is correct a there are no other structures located on this property except
!E'er* -J g -3-7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
71,61 , ki DO NOT WRITE BELOW THIS LINE
Your street address will b pC�
7 a,5- -0 7 �1'��lr.0n.
Sewage Permit Number Issued Building Permit>i:
The zone is ,,&444L. 6)...2-
) Receipt 4 2 S Issued
Remarks
Form 523 Bldg. Code
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50'
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70' Ti
2705-07 cvNIPPLE cL7