1978, 02-13 Permit App: G0701 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.0&94
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
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
Address "--- Phone
Architect Address Phone
Phone
Phone
Engineer / Address
Contractor __ _� / Address
Legal Description of Property (Give complete descripti from deed, tax receipt, etc.) Parcel
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er
DESCRIPTION OF WORK: N w ,A Addition Remodel
_' /64 $//
Size of Lot /61-,5,- X
Stories / Dimensions V
Rooms 7 Baths
Heat. System
Use of Bldg.
Basement
I, part, no
Type of Roofing
Foundatio
i
Moving
Sewage System
Total Sq.
Const
Bldg Zone
Fire ne
tom' i
FFr., C,nc., r etc.)
onst.
Ft. '... -?e0 Valuation ;t 0.„ 2 -C-t -1
Chimney
Ext. Finish -77 ! r
PLOT PLAN
£ -1 Fireplace
(Kind) (Number
Int. Wall Finish
No. of UnitsBedroo
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
SOUTH
-1
I reby a tify informat' submitted
as s L- , ee
Owner or Agent
A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
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DO NOT WRITE BELOW THIS LINE
L
is correct a d there are
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - OMMERCIAL
IRED
Plumbing Permit 4-
Heating Permit >! -zeee ic--
Sewage Permit 4_C,4: -e' L(
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
J no of r structures located on this roperty except
Your street address will bef g() n j
Sewage Permit Number Issued
Date
CONSTRUCTION COMMENCES.
Building Permit:
The zone is ; . 'e-, e24L
Receiptt..'3 Issued
Remarks
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