1977, 05-26 Permit App: M1544 Duplex d
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 Qi
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
2
GENERAL REQUIREMENTS PERMIT FEE 7
Q E
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 Cf y20/
p
Name of Owner H V " N !I ',Address g� A 1 . s. ._ . i..,4:hone 338`65
Architect Address Phone
Engineer Addresser n /I Phone //s„ F it
Contractor K�/1 D E?I/ C?lop►n'1 e 14t Co. Address J Ci-bl'i a Phone
Legal Description of Property� (Gide complete description from deed, tax, eipt, etc.)
LC .t 6� UIDe It I l Pay'te-r 4dddi'rT,tki
Pte.► e i - prN Q359/- o7yi
DESCRIPTION OF WORK: New ___Y__. Addition Remodel Moving Bldg. Zone _/ Fire Zone .3._______Size of Lot 9.2„. X /2.3. t/3 Sewage System ` eph'9- onst. Tec M�1 e
l—� i / (Fr., Conc., Br., etc.)
Stories Dimensions / O /l c�C 1 Total Sq. Ft.:tc2k.�V--a uation 64Dgo
Rooms Baths Basement 7 Foundation Const. CDH C'.-/"4" re—.
ChimneyP•/ /Fire lace z re •
7 Full, part, none) (Kind) }NuefI"�%/►t�
Heat. System Type of Roofing C 0 tile. Ext. Finish Int. Wall Finish ksi II 1,04.-e /
Use of Bldg. 4.1)P 1( Lt.►1 a (/Q Pa R? /i e 4 /i m 1 r ci- frit' No. of Unitsa Bedrooms- ea CA Sid`
J 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.
NORTH RESIDENTIAL— COMMERCIAL State License No.
i / ") 441/1.
Ind. Ins. Acct. No.
•
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lee,i
1
ififil - / REQUIREDpOIL
Plumbing Permit/3.e_e a s io i }fl/i ifs
m Heating PermitA P 4 tZ a/i f /
en /
to H Sewage Permit n N Wel�n L'Y
—I -I
.404
Plans Received
Plans Checked
Plans Returned
' Plans Picked Up
Plans Mailed
SOUTH I
I hereby certify '• • mation submit -d i- r' r and there are no other structures located •n this property except
as shown.
fA �� c�
L_ /./ *_ .4.-e,_ C mac.
Owner or A_-i Date
A LAND USE OR STRUC`I*E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRU /ION COMMENCES.
T IS IS NOT A PERMIT.
. {. DO NOTATE BELOW THIS
THIS LINE �,
Your street address will be/) (-)/C2 L-2 004- -----�- - sal. The zone is 41--C.43-14-"e
Sewage Permit Number Issued Building Permit /1.4/ Receipt 9,S--72 Issued
Remarks '
Form 523 Bldg. Code
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