1977, 06-24 Permit App: M2084 Duplex r— -t•
Ctiviinty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .+%64°/
GENERAL REQUIREMENTS PERMIT FEE C�
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 cove ants or dedications.
�� A•PLIC/ANT FILL IN BELOW THIS LINE j�j-.��(}l/I�5
Name of Owner ( ' AO.4... . O', Address/'(V \ i/Z.�.Cr.4.4z.�riai Phone ,6 'g75J
Architect Address Phone
Engineer Address Phone
Contractor ________< -.... Address ' _ Phone
Legal Description of Property (Give complete descrption from de d, tax receipt, etc.) -2..3. 7__z_3—/ 3
Ler- /3 / 4/e S � ���c�c-�1
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zoe 7 Fire Zone
Size of Lot / �a X / 3 1 -e /lC (-1Q '�'' --�3
Sewage System Const.
/ / i / a y/0 0 c2i. 3 . Conc., r., etc.)o�
oZ, ,�&(r 'f- g /.2 y 'i /l.1 X / 2- y' Tota V c/06A0
Stories/ DimensionsfZS�"q. Ft. aluation ,
Rooms/1'V BathsBasement F.-77 Foundation Const. C0NCR -e_e- Chimney /9'e / Fireplace
(FFullll, part, none) (Kind) (Number
Heat. System ��Pe !?LTt Type of Roofing n - Ext. Finish / / Int. Wall Finish Die -14i
Use of Bldg. L/_y .e , �j,4 u�L si I '-�_4/, c Q - No. of Units_Bedrooms
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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 RESIDENTIAL COMMERCIAL State/Fp No.
Ind. Ins. Acct. No.
,d,)2.e_ , ,,7;,,,e-Leldvr-- .
REQUIRED
/
Plumbing Permit
.AO m Heating Permit
i
to us N Sewage Permit
-1 -1
Plans Received
Plans Checked
Plans Returned
fir•
Plans Picked Up
1 Plans Mailed
SOU H
I hereby c: :fy information subs ] '/correct and /,/ire are no other structur located o`tthis property except
as she". •� / ��` /
/V\' ' / Owner .1/ge i ' Date
A LAND USE OR STRU TURE PERMIT MUST BE ON THE PREMISES BEF RE CONST UCTION COMMENCES.
THIS IS NOT A PERMIT.
‘ , 111, ' DO NOT WRITE BELOW THIS LINE
/
m `' 39 '1 our street address will be / U ) c---- 0 / /6 L�'�/� The zone is
Sewage Permit Number Issued Building Permit/ _ Receipt 7171.49T Issued
Remarks A4 C/5- .
Form 523 Bldg. Code
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