1975, 11-05 Permit App: L1999 DuplexCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._..iU...,
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ay
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
Name of Owner Addre Phone
Architect Address Phone
Engineer Address Phone
/I /♦ // i/ /J // /! //
Contractor Address .y- y� Phone_
Legal Description of Property (Give c$mple - descri.tion from deed, tax receipt etc ) o/ �,/� lAt/C `f
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a r _flcr /7 L.Qri�i.
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DESCRIPTION QF WORK: New
Size of Lot
. /[4'
Addition Remodel
AC.
r�
/ ;re
Stories Dimensions ,% /i��7� 6 I� p /O
Rooms Baths Basement foundation Cont. `0
Full, part, none')))
Heat. System/4h.87lJ.Ty f oofing xt. Finish
Use of Bldg. id
afitene
.('}4-CLt 0954/- a 70/
Mo i g Bld Zone Fire Zone
age System Const./•/��1
1111 yL r., Co Sc., Br., etc.)
09 Total Sq. Ft :l'ef Valuation C� t 8!)
Cl F%�� Chimney "'I— Fireplace
7� (Kind) �Jrytep�, (NumbeerL
/1'44.50,i/%E. Int Wall Finish 5 ✓ kw -6
No of Units2 Bedrooms
wjw•[[
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
ut
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NORTH
Sinea
I hereby
as shown.
SOUTH
Owner or Agent
A LAND USE R STRUCTURE PERMIT MUST BE ON THE PREMISE
THIS IS NOT PERMIT.
is correctd'1p are
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y
State License No.
;223 —O/ 95#4.y
Ind. Ins. Acct. No.
REQUIRED'girt.-
,
Plumbing Permi
Heating Permit IfCO�/�• ,, G.C[=.
Sewage Permit"!/./A14..f+G/[
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
DO NOT WRITE BEL
Date
BEFORE CONSTRUCTION COMMENCES.
THIS LINE
Your street address will br % / -vs �nj' AC,O -CIb;72,
_I Building Permit
' Sewage Permit Number Issued
The zone is 2 7144/ X-1.4.-'
Receipt Q 997 Issued
Remarks
Form 523 Bldg. Code
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