1971, 10-12 Permit App: J0947 DuplexCounty of Spokane, Washington
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
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 47-255.
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 bLildings (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
structure of any
Name of Owner._ AI 40-2-6,--.04. Address / el 1/ 4�_ 111," Phone //f L44 Ss -
Architect Phone Engineer T Phone
Contractordive 63'I-ic,.4 e , Address /6.0 % cam. -, .t liftti Phone
Legal Description of Property (Give c mplete desc�rif�tt�ion from deed, tax receipt,l,,tc. )
W - J.Z. 6c I " . �'} ;t-.* 11 lid . 71 £( S ?t d A z%t / 9 V_• 444�� laf /1)
• 1, E.cc 'r?``:�:✓ n -1i /9 s rpt //4141-44,-.-1aI
l K.55 / - r 9a3 i
/9a,,a-22.1.4
DESCRIPTION OF WORK: New Addition Remodel Moving
Bldg. Zn `Fire Zn."3. of Lot jag' ( 12 9 Sewage System'r_ �a , Stories/
IS S P T I C Tl T C. )
Construction ...1o4y4i 4 D mensions e> X CI , Total Sq.Ft. `Va uation 7 d d
(FRAME,CONCRETE,BR ICK, ETC.)
Rooms 16 Basement. Foundation Const. e_o Chimney Fireplace Htg. Sys Fuel_ nom.
(FULL,PART,NONE) (KIND) (W.,AIR,STEAM,ETC.)
Attached Type of Roofing_J��— Ext. Finish-tikla--ri Int. Wall Finish
(COMPOSITION.SHINGLE.ETC.) (SH..METAL.SHCE) (PLANT R.D WALL, C.
Garage e -
Use of Bldg.
No. of Families 2 Miscellaneous
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
SOUTH
State License No.
Ind. fat ct. No.
REQUIRED
7
Plumbing Permit
Heating Permit Z
Sewage Permit
I hereby certify ormation submit is correct and there are no other structures located on this property except
as shown.
Owner or Agent
pct 1a 7 1
Date
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT WRIT
THIS LINE
Your street address will be /SJ `-� 6 r %/�j// ,,/� i �_ 4. :woe zone is -.0%.0
Sewage Permit Number Issued Bu' ding Permit ' Receipt : _!Issued
Remarks r`
Form 523 Bldg. Code