1975, 10-13 Permit App: L1791 Duplex County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
r APPLICATION FOR LAND USE OR STRUCTURE PERMITpc
GENERAL REQUIREMENTS PERMIT FEE cil
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`Nhe
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WA . Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
th surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
S AGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. �.�
ET-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 779(96
-, L,12:. ,� Address yam: ;,) , >�c- � 649
Name of Owner ..� � `- ���- r Phone
Architect ---T Address Phone
Engineer . .4.1-4....-C______. Address Phone
Contractor Address Phone
Legal Descr tion o Propert'�(Give completed cription from deed, tax receipt, eta
--/l g'5 3 3j3 a., j 5 I-4-
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone�.-�
Size of Lot / 0:2. / /30 Sewage System C� Z Const. 7% -
/
'tile
_ gn Conc., Br., etc.)
Stories/..��DifFien I JoX v� � Total Sq. Ft -36/36-7 Valuation s‘=.-'`
b-� -.00ms /C1 Bath- -0- .';' ement 'f 11i1,L, Foundation Const.. (--_6 Nc. ‘ Chimney "„`" Fireplace '''
Full, part, none) $J f . (Kind) (Number
Heat. System 313 Type,of Roofing Q-C, IA-A) Ext. Finish~-��� 1�'���% J/C"7 Int Wall Finish . " L 14)414-1--
-S
Use of Bldg. /gt!f-r /j z - DI3L, Bp _ No. of Units Bedrooms
PLOT PLAN �e �
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of exist g and
proposed buildings; (4) distance to property lines ant :treets.;, (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. ""' .
NORTH
RESIDENTIAL —COMMERCIAL State License No.
eZ2 .3 0/-/8-773
/)- Zl Ind. Ins. Acct. No.
')i,,,t- ktefrtAl
REQUIRED
Plumbing Permit-
m Heating Permit 4Zi 1:3`
'" aJnLAuCpp
N N Sewage Permit �'L /�
-4 -4
Plans Received
5 Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify infor tion submitted is correct and there re no other structures located o •this property except
as shown."-3 f —
/`
/ -L�- , z. . . L.e. es-':_� l
/3/775--
Owner
3/ -5-
Owner or Ageat7 l.� Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(97 -744442-1Z DO NOT WRITE BELOW THIS LINE
Your street address will be/ittF 107/7- 407 11 d. 3,1,----e .% The zones
Sewage Permit Number Issued Building Perm Receipt S V Issued
Remarks
Form 523 Bldg. Code
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