1978, 04-10 Permit App: M5845 Duplex r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /05
ite
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 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, slid"-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 covens is or dedications.
—1 APP I� ANT FILL IN BELOW THIS LINE �`��/
Name of Owner `iTr VAIFWIl dir Address ���-�� �AVA W • one -dr` 7/6")
Architect
Address 7 Phone
Engineer Address Phone
Contractor ____Jj' Address r,
Legal Des iption of Property (Give complete description fro, deed, tax receipt. etc.) ce • ;'i a ��—j-
agAV
ILe 15c
ROADWAY R/W Wiwi-, ee/
DESCRIPTION OF WO /�ey v Ad iti/o�n� / Remodel Moving Bldg. Zone /_ Fire
Size of Lot �L G',> Sewage yst m `-Me const.
i / / r / 1� 'a} (Fr., Cone :r , c ) /
Stories Dimensi.r s� L ��ve al Sq. Fiee Valuation ��,
Rooms/2 Baths Basem-it iL Foundation Const. ������!• Chimney 1 Firepl ce ��e
p1� part, no ( in.) (Number
Heat. Syste r_. i Type o Roofi g ,./�1.//. -1/ y�E f. Fi "/h .�1/ • �_ L _.,, t. Wall Finis /
Use of Bldg. 01 yti ,, t�GC le' i �i'�CJ� / (. [ e), No. of unifszesedfoo
PLOT PLAN
//
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
.-.posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
, t.d and meter supply lines.
A
n NORTHlimmapip
imy itmiliamiiiiiiii
l .. de Z
CE:01 OMMERCIAL
. REQUIRED
Plumbing Permit
m Heating Permit .
in N N Sewage Permit
-I .4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
4//////q f 4.644(Ar
SOUTH
I hereby.certify infor tion submitt correct and there are no other structures lora df on t 's property except
as9own._ /4.AJ ._..Z•a
�1 � L 7,9
Owner or Agent Date
A D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T IS T A PERMIT.
r� DO OT WRITE BELOW T IS LINE VS f
69(1,/ el
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if ��u6r street address will be ( (�/ �l` �'. �/ 0 The zone is' /64
Sewage Permit Number Issued Building Permit• Receipt///V Issued
Remarks ,
\S
Form 523 Bldg. Code
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