1978, 08-01 Permit App: M7429 Duplex County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE i6 (7
o
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 clearance must be obtained 25'
rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway,
and egress. pertaining to set-back and ingress
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 g (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 1] 4 e>ec'. ': �. 12pa t$Pr S Address 1S-14, S. J et I.),.A
Architect Phone I
Address Phone
Engineer Address
Contractors Yom. Phone
Address S `h Q Pule ria-. 1 1 1
Legal Description of Property (Give complete description from deed, tax re it etc. _arc I N er N
1 C10(o,/ gob? 1 cI i l y 4,0-T r az-0c-it., 3 / /fib e"i�i/ spa -��,
gf AOWAY R/W WIDTj- Sa"
R TION OFWORK: New Addition Remodel
of Lot 91, 40 X Z�r Moving Bldg. Zone Fire Zone
.QL;T t Sewage System %P-1-4-Z C
Stone fik-{ X� {t-, 1 �FrnsConc gr etc.)
Dimensions U
Rooms ��gaths2 t.4 Basement Total Sq. Ft.°49.6 Valuation
—Trull, part, none p Foundation Const. i� , Chimney (Kind) Fireplace t
Heat. System
y rL-L ype of Roofing Ent. Finisk, I I I ( Int. Wall Finish �(1,,, Ll4(Number
Use of Bldg. V.,() e�C 1S1Y1 � 424ge, - Sm `FrIJISr►P /71 �f
i J No. of Units Bedrooms 2--44-4s--
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 0State Lic nse No.
QkJ t1�
Ind. Ins. Acct. No,
1 ESID AL-COMMERCIAL
eQ I 4 `�i-tk `� REQUIRED
Plumbing Permit
In Heating Permit
m
710
uv
mi
yi Sewage Permit
.4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby t , y . ,1' tt d is correct and there are no other structures located on
as shown. this property excep
Owner or Agent 0/7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ebizite0 DO NOT WRITE BELOW THIS LINE
Your street address will be I,�... 1.. --` ":c
�
Sewage Permit Number o rh' A UThe zone '�1.+/t9 PAM Ly R�S
Issued Building Permit �/,��9 Receipt0f6 Issued
Remarks
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Form 523 Bldg. Code
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