1973, 06-11 Permit App: K1934 Duplex•
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ye -a-0 4135
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of at/
kind or alter any building or structure already erected, or to change a land use. Construction must conform vith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Rater supply must be approved by the County =taste Health Departments. Where work on water'connectlons 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 COVEJ(ANTS. 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�.4F.C4Al 4 _rive Address
Architect Phone Engineer Phone
Contractor ,Sd i/1� Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 71-57,r C L.k 59
- � 7,s7yy-- 19 T7
,Z7 •s Pier y .zLr6 Phone 8 4l
DESCRIPTION OF WORK: New -Z„c Addition Remodel Moving Bldg. Zone
( Fire Zone
Size of Lot 14/24,4, y� //�7,Yf�� Sewage System �'p,9 J4 t_ Stories �_
Const. d v �_ Dimensions j71?' -X. I' -V- (X .146- Total Sq. Ft.....2 /�)9 Valuation
(Framif, concrete, brick, etc.) �- nn
Rooms_r_ Baths Basement 6.CL Foundation Const (le:Yen Q/ Chimney Fireplace
(Kind) (Number)
Heat. SystemFG Type of Roofing [ ?O b., Ext Finish /l0as�,0.(Xe S•/jlnt. Wall Finish pry I.c4 Ie'
Use of Bldg. 4r idt' ,Yz;� /7 / �I Nj
Gurnge or Carport Attached t:/frt$,C . W41a,�V 4)�.p
(Full, part, none)
PLOT PLAN
Draw sketch with •imensions showing: (I) property lines; (2) street or road locations; (3) location oftexisting and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
o. of Units Bedrooms
Private l)etatched_
NORTH
I hereby c tify i
as shown. _
°)our street address w r
will I be - „� $ifi(� — f h /�'a �e zone-is-yl_c'"J/-
._,,,e,_.n `
Sewage Per it Number mit I�jQ3.I Receipt Issued _ci G
State License No.
Ind. Ins. Acct. No.
REQUIRED ,
Plumbing Permi
Heating Permit 1 � .51C7 -AV
Sewage Permit 61/4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
n submitted is correct and there are no othe .. uctures located on this property except
Date
A LAND USE ORJSTRU TURE PERMIT MUST BE ON THE PREMISES B • RE CONSTRUC1ION COMMENCES.
THIS IS NOT A PERMIT.
Owner Agent
DO NOT WRITE BELOW THIS LINE
Issued BuildingPer
Remarks c
_• _ .li r �MI ►i
INV' _ Atffirr
,.,,41621117.17
Form 523 Bldg. Code