1972, 06-16 Permit App: J3410 Duplex1
•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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
Spok4ne County Building Code and Zoning Ordinance. Construction is subject to inspection.
WA . Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the Murface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWA E SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
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SET-BACK
/
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 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner - Z i4 o . P We r (/n N• . Address 4' 23 r7/3 c, c_ kr./ Phone 6' Y‘, /4—
Architect ..b";•1/ Aceei+ t rs. Phone Engineer Phone
Contractor ...,,,,To iii-,, /2WO,'e/4 0v . Address --5sir, (' _ Phone a%.
Legal Description of Property (Give complete description from deed, tax receipt, etc.) - Cr/%ice , h „gym
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DESCRIPTION OF WORK: New i Addition Moving Bldg. Zone Fire Zone
Remodel
Size of Lot / CP X / Sewage System
Const.,--s�se►=- Dimensions Ne, cl vs% 764'4'5 " C3.7.7.90n 01;1'2 41 Total Sq. Ft .2 S'3
(Frame, concrete, brick, etc.)
Rooms 1 Baths Basementf'') f Foundation Const. CO-" t14C• 71r.
l (Full, part, none)
Heat. System 1'// c,c 11',C Type of Roofing
Use of Bldg.
Garage or Carport Attached at?ti+ i' A d."/ -
PLOT PLAN
praw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
propbsed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem p.nd water supply lines.
Ext Finish
Valuation
Chimney ff''icif ,Fireplace
(Kind) (Number)
Int Wall Finish /.7,ffs.J f/
No. of Units Bedrooms
Private Detatched
00 i.
A
401044
4/a th,
I hereby certify information submitted is correct and there are no
as shown.
other
State License No.
Z 13 551,
Ind. Ins. Acct. No.
-7'574 —6a
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on his property except
Owner or Agent
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
HIS 1S NOT A PERMIT.
(9A,z) 1/1 4
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be / Yc Y- /4:-f 9�
Sewage Permit Number Issued
Com, �•r_�-,r
24-71
Build in ermit
The zone is ��-
Receipt --`3(10 ssued
Form 523 Bldg. Code
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