1976, 02-24 Permit App: L7114 DuplexCntY P of S okane, Wash ton
9
BUILDING CODES DEPARTMENT, N. 811FJE FERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT rr77 17
GENERAL REQUIREMENTS PERMIT FEE ---- l_l------------------
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.
NATER. 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 Owner C f Address l z & t f 6 12Phon _13S_7
Architect Address Phone
Engineer j Address Phone
Contractor 0- A/I Address'§' 67f''1rf 617- Phone 95k' /Sfl
Legal Description of Property 1 ive complete description from de tax receipt, etc.) 3
DESCRIPTION OF WORK: New
Size of Lot
Stories I—OW"b i mension s
Heat. System
Use of Bldg.
tion Remodel
ntFu LL Foundation Const. —�
ions
of oofing G 0#1 to Ext. Finish
Moving Bldg. Zone Fire Zone -2
_ Sewage Systemonst.Z519d O" 16' "� f
tFr., Conc., Br., etc.)
ota Sq. Ft Valuation 'C10
Chimney 1 1 Kind Fireplace (ILumbN
Int. Wall Finish 1 14a elffm
No. of Units — Bedrooms —
PLOT PLAN�t2�
Draw sketch with dimensions showing: (1) property lines; (2) street or road 1 tions; (3) cation of existing and
proposed buildings; (4) distance to property lines and ts- (5) dimensions of ildings; (6 location of sewage sys-
tem and water supply lines. - --
NORTH RESIDENTIAL - OMMERCIAL State License No.
Ino. Ins. Acct..
REt.MU
C�" \ Plumbing Permit -!
in Heating Permit =
rn )0
rr H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I h%ecertify/information su itlted- Iisfcorrect and there are no other structures located on this property except
as showGUS L'O 11""��C/
Owner or Age#t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS T A PER T.
DO NOT WRITE BELOW THIS LINE 17
Your street address will be - /� The zone is
BeUlige eeralt rlumoer Issued _ Building Permit ( ?If U Receipt�'. Issued
Remarks
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