1977, 05-27 Permit App: M1551 Duplex County of Spokane, Washington •
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ' v
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / "'�
SENERAL 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 BEL•W THIS LINE 6' g,2 /(.
Name of Owner _/ ..,��t- -- i j Address ry _ C -4-i, ,r'` i Phone ' -( 1-4-_3
Architect 1� .i_i .. Address / Phone
Engineer Address Phone
Contractor ,(-/-2.-y‘-A-- Address Phone /
Le Descrition of L p rty (Give completfrde�cription from deed, tax receipt, etc.) Parcel Number c� - J - `1 r
-, q - � -et
DESCRIPTION OF WORK: ttit. Addition Remodel Moving Bld . Zone _L— Fire Zone .
Size of Loth.) �, Let.C_J /d J x I `E (6' 69,a_.., Sewage System g � Const. ,-•'
(Fr., Conc B ., etc.)
Stories 1)2Dimensions (o G"/d-ti — ` otal Sq. Ft." U
� Valuation
Rooms 1/ Baths Fu IB Basement
Foundation C st.� � p /� ate_
"T �.� Chimney �Z Fireplace
? A (Kind) (Number
Heat. Syste Type of Roofing r) .C_.�-fir- Ext. Finish ��� Int. Wall Finish //14- 1s-c., ., „
Use of Bid• --
fit
Awitiwp'',`' al.-1
,10I Air No. of Units Bedr ms 1•`1"e`•--
iiiwiw-
PLOT PLAN
Draw sketch with dimension/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-
•m and water supply lines.
, NORTH State License No.
Ino. Ins. Acct. No.
/ i /`
/ j RESIDENTIAL-COMMERCIAL
� REQUIRED
7 /�—�
Plumbing Permit `
/ nm Heating Permit 0
I IP
N tot Sewage Permit
. -4
Plans Received
Plans Checked
Plans Returned
Y(ti, Plans Picked Up
Plans Mailed
1
SOUTH c
I hereby ert y infor io ubmitted is and there are no other structures located s this pr.perty exept
ast or ro1-7
2
Owner or Agender" Date r
A LAND USE OR STRUCTUR ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be A& v q I/ v ,e 1The zone is 17()-'-
Sewage Permit Number Issued Building Permit /<,.c Receipt Issued
Remarks f .
Form 523 Bldg. Code
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