1975, 11-05 Permit App: L2001 DuplexCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._ 2,-00
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
Addres • A/ t sale— ,M46
Architect / Address
Engineer Address
// • / /! / i / / /1 • • //
Contractor Address Phon
Legal Description of Property (Give cgmpl a description from deed, tax receipt, etc.) tiG�
dun t'46.F. Jo 6— by u% se .v -'
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Phone
Phone
Phone _
7Dd'-9220
tre
DESCRIPTION OF, WORK: Newion. Remodel �1 �vi/pyy�
Size of Lot /t%lt. rote �eO /� d
4('0/19/Y_2 f 4age System
St 4TD' ' ,s x.70 C- ' /G/p ��eC) / Total S
orres imensron yC7 yq
Rooms Baths Basement dr/her-Foundation Const €-Ls.�Chimney Z Fireplace �.
(Full, part. non .40„(Kind) (Number
Heat. System4 , QQ Type of Rorfing `��"- r. Ext Fi is. e/iJJO4.V7.FJnt Wall Finish (Number
Use of Bldg. 1 p-' s. -r: - / -�; No of Unit .1 lm L/
.. _ - _ �eR Bedrooms 5t
BI Zone;_i_ Fire Zone
Const
p (Fr., Conc., Br., etc.)
. Ft, __ Valuation -00
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
"t"'. proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
elyitceszedo
SOUTH
I hereby �yrtify i rmation ubmittgd is correct}�d there
as shown.*v' �J / •
Owner or Agent !"'/�'"' '/�/A'
A LAND US OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
eat 11PM•441
Your street address will Rq.
Sewage Permit Sumner Issued
State License No.
-01-Y a3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
a Sewage Permit E
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
argr no other structures located on this property except
Date
MISES BEFORE CONSTRUCTION COMMENCES.
J
DO NOT WRITE BELOW THIS LINE
.274/.1,—O7
Building Permit
The zone is J.Q�vv(-. J?'4
Receipt /1 QQ g Issued
Remarks
Form 523 Bldg. Code
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