1975, 10-24 Permit App: L1907 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE . .761-6
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ..4p42a1 W J,...Zzid. Addres , ��_�J /!Ci• �'�c$ Phone
Architect Address Phone
Engineer r Address Phone
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Contractor Address / vt- Coeir ontr.�
Legal Description of Property (Give complete description from deed, tax receipt etc I •
9'tP—Ptto
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DESCRIPTION qF WORK: New Addition
Size of Lot
Stories /'L Dimensions
Rooms Baths
Full, Baspart,noementneULA _Foundation Const.
Remodel Si_oving Bid Zone Fire Zone 1
Sewage System /1
Const.
Brge �
/ ' tal Sq. Ft. 2,ai96 Valuation (t' OOt pip
Chimney Fireplace2>A711/1/544‘4-
No
��
oJt2.kv ll nd) f��yl11%A'er 4-
Ext. Finish Int. Wall Finish (/ IY�
No of Units Bedrooms 9
Heat System
Use of Bldg.
Type of Roofing
r'/ a
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
W
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
No/4'500/
0
I hereby c
as shown.
SOUTH
Owner or Agent
witted is correc
par
A LAND US l OR STRUCTURE PERMIT MUST BE ON THE P
THIS IS NOT A PERMIT.
address twill
DO, NOT WRITE BEL
s
y
State License No.
0223—a/— 9#0. .37
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perini 442 .�)� .O
Heating Permit Cf,CC..
Sewage Permit haillAje
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures locate on thi property except
7
Date
ISES BEFORE CONSTRUCTION COMMENCES.
W THIS LINE
Your street7.-2- .2- X- /
Sewage Permit Number Issued Buil. ing Perml
Remarks '
zone is
ceiptf77/� Issued
•
/
Form 523 Bldg. Code