1978, 02-27 Permit App M5050 DuplexCounty of Spokane, Washington
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 structurd'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.
which are enforceable
Name of Owner _/,1,43.7
Architect
Builders should check provisions of covenants or dedications and easements running with the land
through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE /1U
hin %/?i 5.65e Address /= 8$D.3 14//P j i .v-: Phone 9'�-k - L-I(
Address / Phone
Engineer Address Phone
Contractor F1?/S"by C'cfv, G T— Address l-F-2R'g'42, 16+. y vim ‘, Phone el-I-4*3 r
Legal Description of Property (Give complete description from deed, tax receipt, etc )
t L 9a/rto- /16_ 1-0r
/:4ae c.L qs-'y/,- /s �x7
%?DAa v+v/4 J
DESCRIPTION OF WOR : New' L----- Addition
Remodel
Size of Lot 'L3 X 3- b
Stories / Dimensions .3 O/ l f -ligimgroiray_
Rooms 13-. Baths
21 Basement ___ Foundation Const t/Y
Full, part, none yr c' _
Heat. System F kr,r-rtr/fType of Roofing
h.I
Use of Bldg. Residi x Q C AA40
Moving Bldg. Zone / Fire Zone
Sewage System T i- onst. f=tf+
(Fr., Conc., Br., etc.)
Total Sq. Ft. Valuation 4.-tl41,046040
Chimneyiket Fireplace
(Kind) (Number
Ext. Finish /71/if Int. Wall Finish 4Wieii,/'.gl/
No. of Units 1 Bedrooms'
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
s�- 04r 074n
SOUTH
I hereby certify information submitted is correct and there are
as shown.
Owner or A_ nt
State License No.
PRL$4c 13
Ind. Ins. Acct. No.
di -axe:- ;ty
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this
Date
property
except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be F
Sewage Perm um it Number
a:m6
er Iss d
Remarks
/16
: ' Z 7ig34Jd a41) oe AttArl-OWIr
/ o / 7 - i 9 �3-� arc oC�c� v✓
lding Permit
DO NOT WRITE BELOW THIS LINE b S�
� - a
The zone is G� ,f.t4".u,e.tit 1..[, � 1
Recei'tC)1 - :s ed
ia.r7
Form 523 Bldg. Code
E
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