1975, 10-24 Permit App: L1908 DuplexCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE C.r
17x6`0
GENERAL REQUIREMENTS
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.
Name of Owner
APPLICANT FILL IN BELOW THIS LINE
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,���1f�AIC/ , a
=/ire. Addres�a4
Phone, 22
Architect Address Phone
Engineer Address
Contractor Address
Le. . 1 Description of Pro
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r r // Phone / / •, Z
erty (Give comfete description from deed, tax receipt etc 1
.S 14
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DESCRIPTION OF WORK: New Addition
/ /
Stories Dimensions
Rooms Baths / Basement
(Fu(I, part, none
Type of Roofing
Size of Lot
Heat. System
Use of Bldg.
7
Moving BI Zone Fire Zones—II
Sewage Sys[e Const. /t t 4 n r.
Sq. Ft02)0296 Valuation 5• :tea ir
�—Chimney ,40 - Fireplace
i (Kind) )? �((N'u�mbar�
Finish 6=Q�]elC�/dl� Int. Wall Finishq �Llr
l' f� No of Units4LBed ms 5
emodel
Foundation Const.
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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.
LAI /yS 6i9RTH
y
SOUTH
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State License No.
.223-0/— 940 3'
Ind. Ina. Acct. No.
REQUIR€D
Plumbing Perm'
w Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cit as shown. tyy�tf'ormatisrt0 subni d is corre n there a no other structures 1 ated o this property except
I hereb
j "f � . i- /® �Jr
Owner or Agent D
A LAND US R STRUCTURE PERMIT MUST BE ON THE P EMISES BEFORE ONSTRUCTION COMMENCES.
• THIS 1S NO A PERMIT.
• 641-' , 0 DO NOT WRITE B'CLOW THIS LINE c�
Your street address will bec) :71;1/1!L . 94 4J?Y1,t.i , The zone iso`
Sewage Permit Number Issued Building P mit L /9tf Receipt0 9/21ssu
Remarks
Form 523 Bldg. Code