1975, 11-10 Permit App: L2041 Duplex.1
County of Spokane, Washington oft,
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 1 '
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 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 �ZaL
Name of Owner 3-M Enterprises Address E . 9820 Holman Rd. Phone 924-827?
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal'Description of Pro r Give complete description from deed, tax receipt, etc.) A5'474 3 —/qt,
Block 1 , Lot 7), Shawell Addition
DESCRIPTION OF WORK: New _X Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 98' X 135 ' Sewage System Septi c Const.
(Fr., Conc., Br. etcc.�)
Storiesi Jj Total Sq. Ft. Valuation imensions 26 ' X 73 1781 $40 ,000
Rooms 2Baths Basement Full Foundation Const. Concrete Chimney Fireplace ����
(Full, part, none) (Kind) (Number
Heat. System B . B . E Type of Roofing Comp Ext. Finish Wood Int. Wall Finish Sheetrock
Use of BI.•. ResidentNo. of Ucits_Bedrooms 3 - ,
,(I — 5 Y2—
PLOT PLAN 2—
Draw
Draw sketc with dimensions showing: (1) property lines; (2) street or road a 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 License No.
223-01 -15494
Ind. Ins. Acct. No.
See Attached
Plot Plan
REQUIRED
Plumbing Permit
rn Heating Permit
m
to in Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cgrtif - information submitted is correct and there are no other structures located on this property except
as shown.
6' er � 4Z� _ /1-1 U--
or A ent Date
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
,u. �i `� � oq
Your street address will be f p 47-13 j The zone is
q
Sewage Permit Number Issued Building Permit ���!Tif Receipt , .L' Issued
Remarks
Form 523 Bldg. Code
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