1976, 06-23 Permit App: L4455 DuplexAnty of Spokane, WaAgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201 1
APPLICATION FOR LAND USE OR STRUCTURE PERMIT O n
GENERAL REQUIREMENTS PERMIT FEE._..�j /��..._/
FFAM IT REQUIRED. A land use or structure permit is required by County Reso l aft on to erect a building or structure of any
kind or alter any building or structure already erected, or to change . land use. Comstructlon mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. L1,,
WATER. Water supply must be approved by the County and State Health Departments. Where work on mater connections disturk
the surface, shoulders or ditches of County Rands, permission must be obtained it= the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Not. 45-133 and 47.235. r
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property It... 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 atruct ore abuts a State Highway, clearance must be obtained pert. in in 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 most be
performed in accordance with stakes. Points of ingress and egress moat 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 most be obtained from the County Engineer antl/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages. sheds, etc.) require a separate permit.
RRSTRICTIVE 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 O �%6 ii �^ �'� � Pn %2&-4.3 %off.
Architect / Address 0 Phone
Engineer Address Phone
Contractor Address More
Legal Descri papa of Property (Give cwnpletjp despri ph owl frog dee5i, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone 3
Size of Lot e) 1, / 9 N Sewage System J Const 15r C o-
.,.. //'� IFr., Cmi Br., etc.)
Storiea7/L Dimensions a6 r t '% 3 U• Q. Total Sq. Fc £�'/' Valuatio ��2 000
Rowe. )/ LBeMa ..rt// Basement �u// Foundation Const. CO 11 11 !'a' Chimney Fireplace 45-5 //o -..-.
�u11, pare orel Int. Wel lt'F niish / (N b1—
Heat. System .� Typs of Roofing Ex . Finish
Uau o/ Bldg. i ' ._ �� No. of Units _ Bedrooms
J PLOT PLAN
Drew sketch with dimensions ehming: (1) De.m,ty lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines antl streets; (5) dimensions of building.; (S) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL -COMMERCIAL
SOUTH
State License No.
Ind. Ice. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit _
Sewage Permit _
Plans Received
Plains Chocked,
Plain Returned
Piens Picked Ui
Plane Mailed
I hereby�Qrtify,information submitted is correct and there are no other structures located on this property except
as shown. // // i
Oow[ or Agent 91(te
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
Tour street address will be//0ada (- /Q r yii-p-- The zone Ie
Sewlge Permit Number Issued Building Permit Receipt �(
Remarks
Farm 523 Bldg. Code
------ --- -
I7) j��