1972, 03-22 Permit App: J2292 DuplexCounty of Spokane, Washington
FRA
BUILDING DEPARTMENT. COURTHOUSE. 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 structure of
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. Winer supply mist be approved by the County and tate Health Departments. Where work onwater connections disturbs
the sa face. shoulders or ditches of County Roads, permissionmust be obtained from the CountyEngineer's office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 d 47,235.
SET _BA K r'ROM PROPERTY LINES. in most zones and sander 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 buildin When a building is moved on a county or State
Highway, clearance must be obtained from the County Engineer and/or Stae 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 r ing pith the land
which are enforceable through civil action. County officials car not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Winer rn 1 ddres 1 Phone w '
Architectu hove engineer Phone
Contractor Address Phone
>,
Legal Descri tion o Property (Give complete descriptiofi from deed. tax receipt,"etc>}
ems,: E
DESCRIPTION OF WORK: New �" Addition Remodel Moving _, � �„ � Bldg' done Fire Zone
`
Size of t 16,0 41 r JF Sewage System Stories " ?
Const. Dimensions 1 t - f '� Total S , Ft. - iTalaa tion
(Frame, concrete, brick, etc.)
Roo 13athsBasementFoundation Const.Chimney Fireplace "
r (Full, part, no e)(Find) (Plum er)
/beat. Syste Type of Roofing Ott. Finis
Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
G<irrzge or Carport Attached 4Private Detatched
PLOT PLAN
Draw
sketch with dimensions
showing: (1)
property lines; (2) street
or road
locations; (3) location of exist g and
location of sewage sys-
proposed
buildings; (4) distance
to property
lines aid streets; (5) dimensions of buildings; ()
tem and water supply lines.
State License No.
let
A,
Inti. Ins. Acct. No.
f
p ?
REQUIRED
*yd
i j
Plumbing Permit
Heating Permit
oil
PRO
P
Sewage Permit
�
Plans Received -
Plans Checker/
Plans Returned
. f
F
Plans Picked Up
Plans Mailed
SOU H
th' o erty except
:rtify information submitted is correct and there are no other structures located on xs pr p
Owner or` Agent - Date