1974, 02-07 Permit App: K3593 DuplexCounty of Spokane, Washington
;BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 50.00
PHib1IT REflUIR®. A'latid 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 end 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 thestructure 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 Abe performed until staked by County Road Department and work must be
,Ryerformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
NAOVING 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 R.H. Hoover, Inc. Address E. 9207 Mission Phone 924-9520
Architect
Contractor
Phone Engineer
S.A1' Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
0,)--11f Lot 6. Block 1. Mission Pines Subdivision
DESCRIPTION OF WORK: New fl Addition
Size of Lot 1071 w 1 201
Const. Prams Dimensions PRI r 821
(Frame, concrete, brick, etc.)
Rooms 8 Baths 2 Basement full
(Full, part, none)
Heat. System EBB - Type of Roofing Comp
Remodel
Foundation Const
Use of Bldg. Thipl er
Phone
Phone
/es y/ -0/6 '2
Moving Bldg. Zone 1 Fire Zone 3
Sewage System S.T. stories 1
Total Sq Ft. 2436 Valuation $42,000.00
concrete Chimney brick Fireplace 4
(Kind) (Number)
Ext FinishWood Int Wall Finish dry
No. of Units 2 Bedrooms 4
uruge or Carport Attached
Job #255
Draw sketch with dimens
proposed buildings; (4) dis
tem and water supply lines.
1 car garage
att. ea. unit
Private Detatched
PLOT PLAN /-4-" `—d-
ons showing: (1) property lines; (2) street or road locations; (3) location of existing and
ance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH /P
See att. plot plan
-I
I hereby certify info
as shown.
.
,e tion
.emitted is •.rrect and there are no other structures located on this property except
sties,,,i�
Owo r Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S HOT A PERMIT.
State License No.
223 9$ t0073
Ind. Ins. Acct. No.
04.444.1 aa
REQUIRED
Plumbing Permit
1n Heating Permit Tower ?
NSewage Permit
47
United ?
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
E-Nt-,.e4_a-4.0' ODO NOT WRITE THIS LINE
Your street address will
Sewage Permit Number
OBELOW
be I/ el 0 3 — // 41 o S Co tltap,,I(
a zone is
Issued
Building Permit 7
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Receipt !'�/
ed
Remarks
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Form 523 Bldg. Code
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