1978, 10-23 Permit App: N1128 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 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
Mich 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 Address
Architect Address
Engineer Address
Contractor .. Ci -(? . Address
Legal Description of Property ive complete descrip n from deed, tax r 9ipt, tc.) Parcel Number'
Phone
Phone
Phone
one
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire origs
Size of Lot / 19 / %• / t) /, 2- 2
f Sewage System 1 C Const.
jj-- '�° /y',/ t_j ���//'' �Fr., Conc., Br., etc.)
Stories tom Rion . ' +� iota! Sq. Ft 37�o Valuation
Room Batha°` Basement r‘ i Foundation Const. Cb AC, 4.--e-- 6 Chimney/ Fireplace
n y�jFu I, part, none f / (Nunn
Heat. Sy tem I i'l. Ls , Type of Roofing e0 17/ Ext. Finish 1C -c.2 Int. Wall Finish
No. of Units LBedrooms 7'
Use of Bldg.
giy
raw sketch with dimensions sbowing: (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.
kis 14- et
PLOT PLAN
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NORTH
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State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
nr Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
by certify inform9tion submitted is correct and there are no other structures located on this •roperty except
da
Owner or gent Date
A LAND US • R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will b
Sewage Permit Number
Remarks
DO NOT W ITE BELOW THIS LINE
3 .2 3 e; The zone is
Building Permit `ln Receip
Form 523 Bid °. Code
16•70
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