1975, 10-24 Permit App: L1909 DuplexCounty of Spokane Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .S.*SD
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 most 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 onwater 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 INE
Name of Owner adde e sz'a, Ty &
Architect
Addres
hone
220
Address Phone
Engineer // / t Address // 'f at t II I J Phone /r � e
Contractor Address_ ,Phone r
Legal escription of Property (Give complete description from deed, tax receipt etc 1 4 i(QJ :nom=/—s.J
�7a.v6,Q/bCa. (02?- Iv0_6-aai
•, ,-1-1 X7/h -, i G' /at/ areal-- 9V»A1 ag-1,1
DESCRIPTION OF, WORK: New
Size of Lot
Moving BI Zone.
Fire Zone
Sewage Syste Const.
Stories Dimensions
Rooms Baths Basement
Full, part, none
Heat. System Type of Ro�fing
Use of Bldg./{/d .
for 2fb Fr.. Conn *.1.54jet,/, n
Sq. F � 7 Valuation �
X.Z.-Chimney /tom Fireplace
Lj 1 lKind) /](Number
z✓',yy Int. Wall Finish
++�/�Y /✓4•��
No of Unitsczf Bedrooms
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-
tepl and water supply lines.
1
NORTH
4_bs°9'51
L_ SI q31
1
In
y
R= 20'
A-
11,13
16.122 �._ 16.121
1
004
I hereby c
as shown.
SOUTH
tted
5442E l'= so
f
State License No.
Ind. Ins. Acct. No.
-0 jetiSte•
REQ
Plumbing Permi
Heating Permi Aar.
Sewage Permit �ifiycf$/r.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct there are m other structures located on thi property except
aa
za/2_ ,_s -f
ner or Agent Date
A LAND USE '7' STRUCTURE PERMIT MUST BE ON THE PR ISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A ' ERMIT.
? t
Your street address will be ,c2/2/9/- �
The zone i�0
Sewage Permit Number Issued Buiidin ermlt 7/949 Receipt ZIs - d
Remarks
DO NOT WRITE BELOW THIS LINE
Form 323 Bldg. Code -