1971, 07-21 Permit App: J0164 Duplex• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
it -11
PEWIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kine or alter any building or structure already erected, or to change a land use. Construction must
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WMER. 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 can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE /
ddress 1 .?I � r-���./ Phone4/'0-& ÷17j6
structure of any
conform with the
Name of Owner
Architect
Contractor
one Engineer Phone
Phone
Address
Legal Descrrption of Property, ive complete description from deed, tax receipt, etc.)
S - S--3
DESCRIPTION OF WORK: New i( Addition Remodel
Size of Lot `' -? X / ‘/
Const Dimensions 34 cs
(From co ete, brick, etc.)
Rooms Baths '2....Basement Foundation Const 0--e-""--Jt---C.---
(Full, part, one) (Kind)
Heat. System/' Type 6f Roofing j. A/ Ext Fin h ' � Int. Wall Finish
Moving Bldg. pne ire Zone `?
Sewage System ries
Total Sq. Ft. 11 " -3 7 Valua n
Fireplace �,y
(Nua�nber))
Use of Bldg. �� �"'�� �� - C� No. of Units Bedr
Garage or Carport Attached
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
SOUTH
State Lice a No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit «./e ""-e---
en Heating Permit ,1-_,,a__..„
Wo
' `a -
W
M Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certi ,information submitted is correct and there are no other structures located on this property except
as shown.
✓" Al
t/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIO
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued Building Permit,!'
e zone is
Receipt
i
COMMENCES.
Issued
Form 523 Bldg. Code