1976, 06-24 Permit App: L4458 DuplexCkty of Spokane. Waskton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
/ oo
GENERAL REQUIREMENTS PERMIT FE ..Gr L.i...............
VOMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of Why
kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane Comfy Building Code and Zoning ordinance, Construction is subject to Inspection.
NAM. 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 most be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-133 end 47.235.
SET -RACK FROM PROPERTY LINES. In most zones and under most circumstances, fl 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-wey may not be performed until staked by County Road Department and work must he'
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 ..red on a County or State
Highway, clearance most 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 %4.^ C
Name of owner - AddressSL i� ,� �o Al; /I .t Phone Sz 7 2.
Architect Atldress Phone
Engineer Address Phone
Contractor c g Address Phone �—
Leaai Description of Property (Give complete pescription from deed, tan receipt etc.l
DESCRIPTION OF WORK: New —)� Addition Remodel Moving Bldg, Zone �— Fire Zane
Size of Lot 9Z/ 7 Sewage System i +`� Cponst kt..r —
IFr., Ca c., Br., etcJ
Stieirhiz Dimensions ;7 C Total Sq. Ft. Veluetior* tri
Rooms Baths Basement T-// Foundation Const. >+ --- Chimney Fireplace` nk/ ml
Fu h par[, none I IKi ntll N bar
15��J� � ^ cs. Int. Wall Finish
Heat. SystemTyge of Roofing ng Ext. Finish I z/no Use of Bldg. ! �M - k- QLI - No. of Units 2Bedrgoms V
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 acd streets; (5) dimensions of buildings; (6) location of sewage Sys-
tem wad mater xrmoly lines.
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
Sante Licaeae No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit _
Sewage Permit _
Plans Received
Plans Checked
Plans Returned
Plans Picked U',
Plans Mailed —
I hereby c�.itify information submitted is correct and there are no other structures located on this property except
as sham. // r
._ Ol 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
You street address will be
/ 120 2 — //GU V
- E
1h
The zDue is Aq a-'"41.i_a
Sewage Permit Number
Issued
Building
Permit
�—
Receipt 'Pf Isauetl
Remarks
—
Fu,m 523 Bid.. cede
rb
or CAz
�a