1972, 03-06 Permit App: J2050 DuplexCounty of Spokane, Washington
BUILD! C DES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..9O
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.
WATER. Water supply must be approved by the County and State Health Departments. Where Bork 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 en 'rce .venants or dedications.
APPLICANT FILL 111 BELOW THIS LINE ����� �,6
C�" Phone -02e
Phone
Phone
Name of Owner
Architect
Contractor
egal D•:cription of Pr1
per
Ash dr t. i/L - sr_
Address
Phone Engineer
A•• ess
(Give omp ete d•
scrA
�,. !��y// ice. r
DESCRIPTION OF W
Size o,do ot-
ConAid.
��� _
(Fra e, concre e, brick, etc
Rooms 0 Baths
tion from deed, tax
K: New Addition
Heat. Syste
Use of Bld
MAL
Remodel
receipt,n), C3/S9}-em.? —.fid Cd
Moving :.1• . Zone
Sewage Syste.• -/ . i
Total Sq. Ft./91'3
enient 2 Foundation Const S IThe.72..42,t_/
part, none)
ype of Roofing i tea..: Ext Finish
CarporterAttils ched�Y
Fire Zone
rriie�ss � ,
Valuati l 17
Chimney Fix place
(Kind)
Int. Wa11 Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines. vve S
NORTH
170
No. of Units
Private Detatched
(Number)
Be. ooms4,...24/-44,
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-
3z'
I hereby ce
as shown.
R
Plumbing Perini
Heating Permit
'arn O Sewage Permit
. Plans Received
Plans Checked
°J..t
Plans Returned
Plans Picked Up
Plans Mailed
RED
SOU T 45:," // 54--0-7
tify information submitted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
14' r ‘-'"%r DO NOT W ITE BOW THIS LINE
Your street address will be
Sewage Permit N b
Form 523 Blda_ [ed.,