1976, 07-13 Permit App: J4690 Duplex •
CA:tidy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT _
GENERAL REQUIREMENTS PERMIT FEE
'ER1M__ I3UIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
g n r 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 conn4ctions,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 v-;Z iia,. vAv,wv" Address (S 7G \C-L1461_ Phone 9.) `) '-7 Y$ 7
Architect Address
Phone
Engineer Address Phone
Contractor \v im 0._:
�" ""C��� Address �y"I�� '� �(v Phone �{�
Legal%n�,TS,cJription of Pro[�er(tty'iGiive�c/py�p�plete descripyihnfrom deed) tax receipt, etc.l:.'`-fix_ 2 �- 5^ '/ - //o 7
� �'C bL,e'_fe+►'� _. C._, �-i
DESCRIPTION OF WORK: New // Addition Remodel Moving Bldg. Zone / Fire Zone
Sit 1 7 ' CS Sewage Systeme �'C ir- onst. �
ze f Lo62.4-,4 "'
.e..',`-.a=.y Fr., Conc., ' e j
tories Dimensio s ;7 Z �c 3 Total Sq. Ft,�� aluatio -• _
Rooms/171Baths Basement LQ Foundation Const.. CT "mss= Chimney +A Kireplace
(Full part, none
(Kind) (Number
Heat. System '-A+QC- Type of pofing C . ,A.' Ext. Finish-T- \ s\ Int. Wall Finish �x
Use of Bldg. it �') /, �� .�•,,,`:,�` C , No. of Units r
7+.� _L` ' •LOTPLAN -
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.;::a):d-i nsions of buildings; (6) location of sewage sys-
tem and water supply lines.
.7 L NORTH RESIDENTIAL,--CO COMMERCIAL State License o.-zi
IInd. Ins. Acct. No.
't 1 1
"' r,1
7z• �!
I i REQUIRED --
y1r 0 --p ,iPlumbing Permit
m
11:44n Heating Permit
y ` H Sewage Permit
I -4
Plans Received
Plans Checked
25 Plans Returned
Plans Picked Up
/ 7, Plans Mailed
SOUTH
I ereby ce 'fy-info tion submitted is rrect and there are no other structures located on this property except
as show
_ Owner or Agent Date
A LAND�'US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCI .
THIS IS NOT A PERMIT.
e-A,,, -741.,44..k DO NOT WRITE BELOW THIS LINE y— /3 ` 4
Your street address will be, (r _^, 3 � .-r' . The zone is
Sewage Permit Number Issued Building Permit v(/O Receipt c slued
Remarks
lf
r!
Form 523 Bldg. Code
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