1972, 09-06 Permit App: J4418 Duplex0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,�
GENERAL REQUIREMENTS PERMIT FEE....
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.
NATER. 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 Jngress
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 Address Phone
Architect Phone inee Phone
Contracto�L-.(,,�,,f Address Phone &..I, ,/—
Le i
Descri tion of Proper y (Give comped
complete descr,ption from , ax recel e ) p -
DESCRIPTION OF WORK: NeW Addition Remodel Moving Bldg. Zone ___ Fire Zone
Size of Lot Sewage System c «' SeoriEs
Const. Dimensions X Total Sq. Ft. y Valuation
(Fme Crete, brick et
rac.) -
Rooms &,79 Basement Foundation Const. G'
(Full, part, e)
Heat. System Type of Roofing alL Ext. Finish
Use of Bldg.
Garagerer-Cvowp"A Attac ed
Chimney 4/0 Fireplace _ lid
(Kind) (Number)
Int. Wall Finish
No. of Units ; Bed oms
Private Detatched
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.
NORTH State License,,Alq.
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I hereby certAf-5r informati
as
SOUTH
OwnXUCTURE
or Agent
A LAND USE OR ST PERMIT MU
THIS ISNOT A PERMIT. T
Ind. Ins. Acct. No.
RE9U 1,9
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Plumbing Permit
in Heating Permit
NSewage Permit
•i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
'correct and there are no other structures ' located on this property except
eolfv- 7__/ '_ (/1/ 1Z/
" Date
E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE
Your street address will bey�.2 ° 7 �:;-? e 6
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
THIS LINE
t%�'• a zone is
ing Permit Receipt��r Issued
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Or
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