1971, 05-21 Permit App: I4478 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 and47.235.
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 Ce£6aey 14f}AJ.SCA.I Address 11.0.-3000 ,SuaL3er /3C Iib), Phone
Architect F PlioneEngineer Phone
Contractor d'[f}i•t/E :35/44 ,57-000 Address /04.0,.23 Q TT}e/'SOA% Phone ec',4 / 332_
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lor 8 /30K 7 c.,ts.s-m. n eQAce. #, p - ".a —}-/ OJ/,..,
DESCRIPTION'OF WORK: New Addition
Size of, rL-o/t� bbd .�/5e<5-
Const.p-+efrtl2a- Dimensions 6Z1x» 411,24(X.46.4e
(Frame, concrete, brick, etc.) /�
Baths 2— Basement Foundation Const en A/t:
(Full, part, none)
Remodel
Moving. Bldg. Zone / Fire Zone 3 i
Sewage System 1611)71 62.— Stories /
Total Sq Ft 407`J1 Valuation ,aa7� .10001)
Chimney 0 Fireplace
(Kind) (Number)
/yl 4 -SS LI life Int. Wall Finish 7),29,cc. 44L/
No. of Units 2-- Bedrooms y
Private Detatched
Rooms
Heat. System cel 6 4 „1 Type of Roofing
Use of Bldg. `/o L
Garage or Carport Attached
er^"P • Ext. Finish
PLOT PLAN
rr V/- is a"
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
0
,7c
, bC
/—rheSOUTH
I hereby cqf ify informatio u•, ted
as shown.
Owner o
A LAND USE OR STRUCTUR
THIS IS NOT A PERMIT.
corredt and there are no
State License No.
oa of
Ind. Ins. Acct. No.
9/-0 689255
REQUIRED
Plumbing Permit un`�^-0,--m
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
57-,,), / /
Date
ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be ,yam C)- /1 .4/0— 2'1 / 6 Jtdfi4-4---,29. t)'he zone is
Sewage Permit Number Issued Building PermitrL -� Bece ipt .5(O 2f Issued
Remarks J r9U�XJ
Form 523 Bldg. Code
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