1976, 05-19 Permit App: L3913 DuplexCRnty of Spokane, Wasigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT`�
GENERAL REQUIREMENTS PERMIT FEE ...
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PERM REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structuf 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.
WATlit. later supply must be approved by the County and State Health Departments. Where work onwater 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. 45-333 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.
s
nd
ements
with the
RESTRICTIVE
enforceable throughrs civiluld check action. Countysions of Officialsocanants or not bringdactionntoaenforce covenants dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of owner & OLFLAIJD ' cL Address 5.7/ 7 #,NC S Phone�' �'0
Architect Address Phone
Engineer Address Phone
Contractor & 0C.Fta IID / NC. Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc.) dor y fl1.ocic
SrodetnI$E StiQDi✓isioa✓ 7- a 414/
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone L Fire Zone 3
Size of Lot //elegy Sewage System . Const. J.Q/gfl2 F'
..l1 F e (Fr., Conc.,cBrr. etc.)
Stories L.Di ensi�on,s„ 72 X7,9' +3.2A2. # IR 50.Ra IPat7Totai Sq. 'Ft, A Valuation e`GC0
Rooms _fir Ba a '"v�Basement F)4L- Foundation Const. .... A.QFrrS Chimney Fireplace
C p I(FFull, part, none (Kind) (Number
Heat. System 5 �P) ..8 - Type of Roofing Ext Finish C✓./Onicj Int Wall Finish�,l1Day a�4
Use of Bldg. PdPLE1(, ) No of UnitsA,Bedrooms V
v /
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 street's; -(5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
rit
to
N
NORTH
RESIDENTIAL - COMMERCIAL
c .e/
SOUTH
State License No.
as 3-oJ- 9'Ia?
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit -A 4 M
N
▪ Sewage Permit ,Ld#41.sC. C
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I l.-....1.., cert,o.. ',¢formation submitted is correct .nd there are no of r structures located on this property except
as shown.
er or Agent Da
A LAND USE 0 STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-M e ` "lO'p � DO/NOTeWRITE BELOW THIS LINE ('�/`
Your street address will be /M, 2 / c2/ "t23 • " Ai�®The on e 111-02
Sewage Permit Number Issued Building Permit L3qa Receipt 6.544,--IssuedRemarks
Form 523 Bldg. Code
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