1971, 08-23 Permit App: J0840 Duplex"NNE= -
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County of Spokane, Waskengto
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
1
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 mast 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.
SEWAIGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
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 -axe -required.
STAT 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.
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RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and eater 5-n611:0g ■ith`iherl rl
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 14),-+vrK.d-7R+i ddress _
Architect Phone Eltgineete"e- Phone%%`� _ ��-1/
Contractor Address �/�Phone
Legalhe) crint
ion of Property ,( a complete description from deed, tax receipt, etc.)
--/JGG f Gri��
„tV
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Phone '70
DESCRIPTION OF WORK: New i( Addition
Size of Lot //y.1 97
Const -e-��.-'C' Dimensions
(Frame, concrete, brick, etc.)
Rooms Bath Basement
(Full, part, none)
Heat Syst
ld• o Roofing.
Use of Bgt
Garage or darport Alt. ed
Foun
Remodel Moving
Sewage Syste
Total Sq. Ft.
on Const
Draw sketch with dimensions sho'ing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Bld
Zone / Fire Zones
r{�Ltr, St ries !
/ 2 0 Vaivatl i 6 66 UO
Ext Finish�K,i
Chimney
Fireplace�
(Kind) q{t (Number)//.
iy-,
Int. Wall Finish '
No of Units Bedrooms .J
Private Detatched
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-
State License No.
,P-3 /7--6Q
Ind. Ins. Acct. No.
I hereby
as s "I
RE�IUIRED
Plumbing Permit t4/`-'
Heating Permit
Sewage Permit
(Lc
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
J
G 9/144. east
4 -to -at „AL, cL X.Bro.�a a4,n �a�yo
rtify information submitted is correct and there are no other structures Iodated on this property except v
'f
Owner
or Agee
Date
'A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS RUCTION COMMENCES.
%a9 THIS IS NOTA PERMIT.
ADA'
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
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Issued
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2
Issued
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Form 523 Bldg. Code
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