1977, 10-17 Permit App: M03776 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 99201. —
D
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0 �
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land age or structure permit is required by County Resolution to erect a building or structure of ay
kind or alter any building or structure already erected, or to change a land use. Construction out conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. Rater supply most be approved by the County and State Health Departments. Where workonwater connections disturbs
the surface, shoulders or ditches of County Rade, permission mast be obtained from the County M gioeer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-333 and 47.235.
SET -BACK FROM PROPERTY LINES. In meet zones and under most circumstances, a set -back from the front property lice, of at
least 25' is required. a 5' side yard, 15' aide yard from a flanking street, and a 25' rear yard are required.
STALE 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 meet be
performed in accordance with stakes. Points of ingress and egress most be approved by the County Engineer.
MOVING OF BUILDINGS. A permit 18 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. Builder& 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 dedication..
APPLICANT FILL IN BELOW THIS LINE
Name of Owner /f xs/O,1Y - rat
Address
.Phone y:LXtIT/.�
Architect
Address
Phone
Engineer
Address
More
Contrep
Addreea
phone
Lanni Description of Property (Give complete dex+iption
hem deed, tax receipt, etc.) Parcel
Number
U ' 3 AAA. 1_6-r—
L_n73
DESCRIPTION OF WORK: New X_ Addition
Remodel Moving
_Bh. ZoneFi ra e
Size of Lot /OO X /TG
Sewage System.
Const.
/Y"
r
IFr. . Conc.. Br., etc.) O
Swiss .1 mansions
1i.�Reampent
POC Total Sq.
Ft, (� Valu inn G.1} e /J 6 _0
Iloana��Seths Foundation Curet.
Chimney ' Fireplace<Nu'��p
(Fui 1, part, o6n.
Kinall
Heat. Syate Type Soo 'n
Eat. Fi � �(�
Int. Wall Finish .a.r.C._
Use of Bldg. i< A1if
_z
nOw ✓i iseN/'� X�ixlvL a r/_
N.. of Units _Bedrooms
PLOT PLAN
Drew sketch with dimensions stating: (1)
property linea; (2) street or read locations; (3) location of existing and
Proposed buildings; (4) distance to property
lines and streets; (5) dleenelone of buildings;
(6) location of sewage sys-
tem and water supply lines.
State License No.
Ind. Ise. Acct. N,
ESIDENTI COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked .
Pla s Returned
Plans Picked U1
Plana Mailed _
SOUTH
I hereb ertl infer iov submittan In co act and there are no other structures located on this property except
as shown. �[�J{
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tem street address will be /U
Bemage Permit Member Issued
Remarks
form 523 Wide. Cot
The zone f AA,d
Recel pt leaned