1977, 03-28 Permit App: M0121 DuplexC nt of
Spokane, p ane, Wasigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201x*
aft
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7,
GENERAL REQUIREMENTS PERMIT FEE.
PERMIT REWIRE). A land use or structure permit is required by Comity 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 most conform with rhe
Spokane County Building Code and Zoning Ordinance. Construction Is subject to inspection.
WATER. Rater supply must be approved by the County and State Health Departments. Where work on water connections distur s
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 OP 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.
..••II ��//� APPLICANT FILL IN BELOW THIS LINE
Name of Owner 01-hI (n)d-P riioAJ Address ‘Cl) (OKR Phone iz2E 9h
Architect Address Phone
Engineer !' Address Phone
Contractor 1/q -/11t Address Phone
Legal Description of Property (Give complete description
'des iptionjlfro deed, }ax receipt etc I
6 d- n^f VAC Ry
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F24� ? -f/1LLoy / /'o- AC .), .
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<+S,,3G677
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DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone /Hire Zone 7
e of Lot /00 rX /�O f Sewage Systeme const.q TRA/itf
-dAy/ ++�� // ✓ F Conc., Br., etc.)
l ies 0imensions 26 x- 7Z Total Sq Ft Valuation �scf7Ov
Rooms Baha Basement fJ Foundation Const,-4rla"-!'f Chimney ' Fireplace c.+..�.�a/
Fu I, pert, non /`/ (Kind) (Number ` "i
Heat. System n Type of Roo ing Int Wall Finish
No of Units _ Bedrooms.
Use of Bldg.
Ext Finish
`j'/'F at -
15 O o
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 mate supply lines.
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
I hereby gRrt ify information submitted is correct and there are no other structures located on this property except
shown.
m
D
y
$tate Isicevve No.
d. no /cot. No.
REQUIRED
Plumbing Permit A
Heating Permit 1 I
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
S a, x/_07
Owner or Scent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES:
THIS I5 NOT A PERMIT.
_ a_ 6 3 pNOT WRITE BELOW THIS LINE
o� �x
The zone 1e
Your street address will be
Sewage Permit Number Issued
Remarks Permit ) (Receipt '?-� eaued
Form 523 Bldg. Code
Building /N 0/ r