1978, 03-28 Permit App: M5596 Duplex 7 . -.Mar
0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT lam'
GENERAL REQUIREMENTS PERMIT FEE ��`
PERMIT REQUIRED. A land use or structure permit is required by County 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 mast 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 connections 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 Hiway, 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 'quired to move - existing building. When a building is moved on a County or State
Highway, clearance must be obtained,, *,nom the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory builoa.:`;s (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should ch sk provisions of covenants or dedications and easements running with the land
which are enforceable through civil actin County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THI INE (fji I
Name of 0 •- ! s f S/0W Address G� - �- Phone / ---- 17Z
Name
Architect '�--�.../. Address Phone
Engineer -�A Address Phone
Contractor _ i,„,,' Address Phone
. Legal Desc iption of Property (Give complet description from deed, tax receipt, etc.) Parcel Number �f/ ..I.:047
A747/ __AA _. /7/4W _Adg/eZ'/i/i _6-
DESCRIPTION OF WORK: N 7 Adlditton `]�� Remodel Moving Bldg. Zone _ / Fir 3
Size of Lot /�1�wx `T- �/ Sewage Syste ons .
• (Fr., Conc., r tc /14
Stories (/J Dimers / /% 422 ,x - q. Ft. a V.luation
Rooms /t Baths Base ent . �/ Foundation Const. �I If, yr
(Fut art, . D' _ Chimne Firepla e
�' � (Kind) (Number
Heat. System A �Type Roofing�^^ Ext. Finis /.f_D//l Ot. Wall Finish 1 _ ��
Use of Bldg. O�e� l 4(.L#,---1 ��J� �/No. of Units LBedroo
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 water supply lines.
NORTH t to License N
fit
Ina. Ins. No.
Ja RESIDENTIAL—COMMERCIAL
..._ REQUIRED
�.(v `4; Plumbing Permit
y`, , .2-11— m Heating Permit
m a
m I)- H Sewage Permit
.i -I
------------ _ Plans Received
Plans Checked
Plans Returned
5 Plans Picked Up 1
Plans Mailed
3/5 7 1 Atey
SOUTH /
I,.hhereby certify information s witted is correct and there are no other structures loc ted on r/hiss�property except
as 12;
/rj
Owner or AgemI�' C Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO Nip WRITE BELOW THIS LINE
Tour street address will be 6_5G�6' //—
Ly The zone is �CU
ti -qe2/Jeek
Sewage PermitNumberIssued Building Permit;' " Receipt( I at, Issued
Remarks O 1)cc_-,( U�. 3L/�-'" ----- �i
V —/ tt
0-72-7-49e-- ..
Form 523 Bldg. Code