1971, 08-13 Permit App: J0369 Duplex! 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
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eAPPLBCATION FOR LEAN® 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 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL 1H 62LOW THIS LINE�
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Name of Owner ---Address
Architect
,
Architect Phone Engineer
Contractor Address
Legal Descrit�tion of Property (Give complete description from deed tax rete
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Phone
Phone
Phone
DESCRIPTION OF WORK: New _-, Addition Remodel Moving Bid Zone __� __ Fire Zone
Size of I,0.1 7d t/od `f� � o Sewage System _ Stories I
Const. Dimensions d Total Sq. Ft. Valuation DDD
(Frame, co Crete, brick,. n T
R Baths _Basement .Foundation Const. ��.i ci Chimney Fireplace
7410!2((Full, part, none) ® , (Kind) (Num r)
Heat. Syste Type of Roofing Ext. Finis Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage arport Attached-- 2114L 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 No.
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SOUTH
Ind. Ins. Acct. No.
RE9UIRED
4a Plumbing Permit
rr Heating Permit
Ap Sewage Permit 4 ---
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ify inf6%'mdition submitted /j.wrrect and there are no other structures located on this property except
- / 7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT PERMIT.
DO NOT WRITE BELOW THIS LIE#li
Your street address will be e zone is
Sewage Permit NumberBuilding Permit ,• Receipt Issued
Remarks I _Z1 -1_'
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Form 523 Bldg. Code
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