1972, 10-10 Permit App: J4728 Duplex0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992
CC/
FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7
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 work on water connections disturbs
the sur flee, sL%ulders or ditches of County Roads, permission must be obtained from the County Engineer's tffice.:
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 he
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 f Owner "�c •t Q`4.i(4Crs Address /`f011 e, "gip Phone W 14 - 6/33
Architect Phone Engineer Phone
Contractor EnteL 8a4/6 Phone
Phone 1.044/- (013 3
Legal Description of Property (Give complete description from deed, tax receipt, etc. ) PArca(. Ne, z%55/41 -)/3/
li'}d'. of S, 3"Sit s oP 4 $ifcevl- W.'70' /Did except ter of-hnci' 192 UgYpi.
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone '3
Size of Lot I a' 8'x =30T— Sewage System 9e . fANk Stories
Const Fr4.+n Q Dimensions So' '1- z --d 6 L Total Sq Fto Valuation
(Frame, concrete,�brick eettc.) J ,V -0V o / `,.P.
e
Rooms / Baths : 12O -casement t. Foundat on Const CtAhG'eTE Chimney atcx Fireplace n
RAvli.A..' (Full, part, none) (Kind) (Number)
Heat. SystemC.tUs1 / Elect Type of Roofing Cle°1/05; 1N fiOExt Finish T/ - (/ Int. Wall Finish' f7cy ai ALL-
Use
LL
Use of Bldg. Of.a.r�hen
Garage or Carport Attached 44+11th 051 Ggrge,e
PLOT PLAN
No. of Units a Bedrooms 4
Private Detateh-d
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
REQUIRED
Plumbing Permit 72-✓
Heating Permit
Sewage Permit
Plans Received lonci/7 2
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby
certify
' information submitted is correct and there are no other structures located on this property except
as shown. c
arp
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT._
10 4 0 7 2
DO NOT WRITE BELOW THIS
Your street address will be
Sewage Permit Number
Remarks
/ V I / e zone is
Form 523 Bldg. Code
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