1978, 05-02 Permit App: M6077 Duplex County of Spokane, Washington . g„
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
49S-
APPLICATION FOR LAND USE OR STRUCTURE PERMIT J
GENERAL REQUIREMENTS PERMIT FE
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.
APPLICANT FILL IN BELOW THIS LINE �/
Name of Ownerbt% '�v2 iS‘f �^,�.--x 1. Address ti 5 %.1-- l.J . +'4, _i..; ' Ph 'e i l
Architect Address Phon -z-'
Engineer Address Phone
Contractor S ms-- Address {� Pone O
Legal Description of Property (Give complete description from deed, tox receipt, etc.) Parcel NumberPt Z'( 33 -cion t
Lc7 �/c_ 4) A-&.LAC ccisi A-0I)ii.z
ROAwWAY fi/W WIDT I
DESCRIPTION OF ORK: New VAddition Remodel Moving cdg. Zone / Fire Zone
Size of Lot ,.l r i'S X 3t9 c '' Total Sq.Sewage System onst. f eArk o—
seu 7 (Fr., Conc., Br., etc.)
- Stories 4_A imensi. s * 'A7 (eT
Ft. Valuation
W-AcRooms Baths./' ( 1 Baseme t />4 Foundation Const. `2 e ChimneyW4A - Fireplace f4-
- Q I, part, n (Kind) (Number
Heat. System MC'-kms ' 9 Type of Roofing v'.-a Ext. Finish 1 ( I ( Int. Wall Finish Nal k+.21,---
Use of Bldg. t,, vetaZ1G 1 Cf 0,..6.1E ' e c.a _ No. of Units_I.Bedrooms Zr 14"
“) 1 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 State Li ense No.
cLL c.�Q-
Ind. Ins. Acct. No.
RESIDENTIAL-COMMERCIAL
AT
74 REQUIRED
Plumbing Permit
i in Heating Permit
M
N in Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
$72/71ritAttje.....
SOUTH
I hereby I t ft in .,If ion subm ted is correct and there are no other structures locat d on his property except
as shown. i ��2�Il
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE//-11(:/;1"
(O02 / �BELOW THIS LINE
Tour street address will be ll: The zone s 2
Sewage Permit Number / ji/' L� �72��
B Issued Building Permit Receipt /Co�saued
Remarks
7
Forst 523 Bldg. Code
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