1978, 03-28 Permit App: M5595 Duplex --- -------------- _ ._
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEES/
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 must 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 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 OF 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.
• P••LLICANT FILL IN BELOW THIS . E 0
Nameof0 .=
—diffl--.WAV //,r- I:." Address ARM I' Ifir7 Phone hrff--e?
Architect Address Phone
Engineer Address Phone
Contractor ->j -,9;04 Address _de Phone
Lc �i71�
Legal D scription of Property (Icomplete description from deed, tax receipt, etc.) Parcel Number �Ai/ -��//� 99 -
/1/g. Ak _ '' 61-199 / '22 4L '�r447
ife(4)_../a-...1_ 44(—AAV.64L1 -::- Sr)
DESCRIPTION OF WORK:/ New/ - 7. Addition /' Remodel Moving Bid . Zon Fire e
Size of Lot / A, , €9 / ' - Sewage System �onst:
JJ Fr., Conc., r t1
Stories L Dimensions r A A ' • •1'"� OXz)T tal Sq. Ft. �ry�0 V•luation
Rooms /"/! Baths- Basement 4A rdirFoundation Const. –AGM I Chimney /Z Firepla e 1
(Kind) Numb-r
Heat. Systern1/J , ype :;Roofing
Ext "ii_sh / , –/�- Int. Wall Finish i a�
Use of Bldg. � Ce / i1' ' GGL[g " I / / No. of Units_�Bedroo
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. (�(9'1)NORTH Xr Li�eMnse N •
dir.t
Ind. Ins. . No.
ACOrf
RESIDENTIAL–COMMERCIAL
111 REQUIRED
Plumbing Permit
n+ Heating Permit
N e1 N Sewage Permit
if
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
,,j9%f dila
SOUTH
I hereb certify information submitted is co ect and there are no other structures loc ted on this property except
ass ► 5--28 J78
Owner or Age Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
��� ADO N WRITE BELOW THIS LINE ����
Your street address will be CG5L �i y* 'Ile zone 1�3�y��C et--52� (f
Sewage Permit Number Issued Building Permit `� /t i Receipt C��f 7 y Issued
Remarks ( ,,Lc-- ,i J � � �3 �C m � J
/
, 12V '777V
Form 521 Mein. Code