1975, 11-05 Permit App: L2000 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS • PERMIT FEE —.1Z -eV
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's 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 1N BELOW THIS
Name of Owner a Addres•
Architect Address Phone - -
Engineer' r Address 'r r _ Phone
Contractor Address Ph
Legal Description of Property (Giveppmpl to description from deed, tax receipt etc ) - -
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P� on baa
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Pn f-rrL1 va's•j/-Z1 /
DESCRIPTION OF IVORK: New r"Addition r Remodel Moving Bld Zone
,Size of Lot nreilil Q . tar. /tai Q wid pa �If. 9,, sewage System --
Stories
Rooms
I /
--� Fire Zone
Dimensions P(' X2.j Yh' XQ Total Sq. Ftjjr14
Baths — Basement ( jy/r� Foundation Const c•i&��
Heat. System B Q Type of Roofing
Use of Bldg. £ y2e ®AA
(Full, part, none �.
Ext. Finish OA✓/
PLOT PLAN
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 ard,streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Const. /52.0144E
(Fr., Conc.,GBrr.., etc.)
valuation(S� Dor)
Chimney Fireplace
(Kind( V (�umber
Int Wall Finish y L•
Afreribre
No of Units(. Bedrooms
en
N
y
NORTH
SOUTH
I hereby fy ' tion muted 'correct an
as shown.,
ner or Agent
A LAND USE O STRUCTURE PERMIT MUST BE ON THE
THIS IS NOTA ERMIT.
a
N
N
State License No.
3 -Q/ -99v
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perini
Heating Permi
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
her structures located on this property except
.61 r— //e -
Date
PREMI*'ES BEFORE CONSTRUCTION
DO NOT WRITE BELOW THIS LINE
Your street address will be / _ ?LT
Sewage Permit Number Issued
COMMENCES.
e zone ism LfiLGL: AC -44-• •
Bu ding Perini- 40041 Receipt fi99 Issued
Remarks
Form 523 Bldg. Code
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