1973, 08-13 Permit App: K2500 Duplex• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE "575:€9°
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 PROM 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 tiit/C/iswmai .XA*C_ Address • 7/7 Pines 9%c2D/p Phone 79T-1/22-6
Architect Phone
Engineer
Phone
Contractor S 4 -ire Address Phone
Legal .Description of Prropp}rty (Give complete description from deed, tax receipt, etc. ) A D% 13 /e3 c- k
2-7- / —/w g M•//cr9J Acres 3.-",,/ Ae/
DESCRIPTION OF WORK: New v Addition Remodel Moving Bldg. Zong /
Size of Lot /9o,k 9aX 73 %C /-S 1 Sewage System �'!.`G
Const. If-It,4 w+.P Dimensions 1 X 24 # Y-2. 13.>ae urea Total Sq. Ft. 2-6Sr Valuation 4 3, °oo
(Frame, foncrete, brick etc.) �^ / % y
Rooms / d Baths I BasementitttA / Foundation Cont (SbNL Chimney a'r't r' Fireplace moo"` `
!(Full, part, none) 3,o (Kind) //�� (Numb r)
Heat. System leo. 113 Type of Roofing '' - �/' Ext Finish 77 -ll -56"Ke Int. Wall Finish .k/rY W . 1 ,III
No of Units 9-- Bedrooms "Y
oriFires Z
Sttori5/c
o /
Use of Bldg.
rh�l��yGarage or Cpcprw Nttached
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.
-75 te
°'t
PLOT PLAN
Private Detatehed
NORTH
t06
State License No.
223-6/ 703
Inc.'Ins. Acct. No.
REQUIRED
Plumbing Permit 4. f�
Heating Permit �7"7 -iC,g tfiehRS (ZIec
Sewage Permit /KeR
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
..t! me g SOUTH
as sh
I hereby ertify formation ssbmit ed 's correct and there are no other structures located on this property except
e//V7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
our street address will be . .$QZ% ^06 „3/alre
e zone is .(?,.4t .R4.4
Sewage Permit Number Issued Building Permit f\/aci00 Receipt L/LYit3 Issued
Remarks A.vfJ n.teL
Form 523 Bldg. Code