1976, 08-03 Permit App: L5162 DuplexCitift of Spokane, Wash ton
y p 9
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 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address 72 7 - Phone _Z2t-D
Architect
Address 2(.94- Phone
0
SPhone
Address �% 7 Phone
9-).8-‘712-2-o
0
Engineer
Contractor
Leg De cription ofro rty Give complet escription f om deed, tax receipt, etc
Esq 4
,A/. a7/3 -- /6- 4)
DESCRIPTION OF WORK: New _— Addition Remodel Moving
Size of Lot Zvi* -i Sewage System
/��j�/L.= Fr., Conc., Br., etc.)
Stories Dimensions 644/ ) �% / � �� Total Sq. Ft 336 C. Valuation
Rooms Baths ullBaart none oundation Const.1i_�Jl.$.- Chimney Fireplace( -
p {Kind) Number
Heat. System �r���XType of Roofing
Use of Bldg. J . , , ,
9,3-4 /- Q36,5
Bldg. Zone • /' Fire Z ne
onst. ��
Ext. Finish /11l19e- Int. Wall Finish
No. of Units 2-Bedroo
s
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.
m
NORTH
RESIDENTIAL/ COMMERCIAL
State License No.
aa.3. c/ <) o
Ind. Ins. Acct. No.
4
REQUIRED
Plumbing Permit V-4-12--6-4-
/,y}�
n+ Heating PermitX. ,, AA� ''
Sewage Permit Z.! JG[� /I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct athere are no other structures located on this property except
as shgwn.,,
f Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
it
Your street address will be c2 y / 3 .-/ " -4t p.,JL. (1 The zone is .
Sewage Permit Number Issued Building Permit Q 670 -Receipt A- 4-• 21.5 Issued
Remarks
Form 523 Bldg. Code
,./o a7,,3—/� 14 tPR. E ex,
Lor 51 QLvck .v,
STb, e-Ritl 5o6DmSion,/