1972, 10-18 Permit App: J4809 DuplexI)
1
• •
County ®f Spokane, Washington
. BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
- APPLICATION FOR LAND USE OR STRUCTURE PERMIT o ,o
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
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 onwater 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,tbe 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 /0.4-4,p,24 t , 4i ci o?.0S
Name of Owner s - ddress /S1 [tenth 79.4O'7 Phone 9K1/-12 93
Architect Phone Eltg ineer Phone
Contractor�yyt� Address /> ry Pbpne
Legal Description of Property (Give complete description from deed, tax receipt, etc. )4 ,-e-te- a.-1-1.441-786
L O7 I -$iLvC k 3 /1,.f'.(.'2P e9/v( a��—
DESCRIPTION OF WORK: ew Addition Remodel Moving Bldg. Zoone� ��1 Fire Zone 3
Size of Lot /41.0 / / 41-h Sewage System .L�.mis Stories
Const yj/��,.Q,,n ,' Dimensions a 3 � X 6'Y Total Sq. Ft. •/ %'7i� valuation 4 U�t O
(FrarM; concrete, brick, etc.) •c_L
Rooms _Baths y Basement /4�ss--Foundation Const. //-f7f e , 4.s. Chimney.A Fireplace 2—
(Full, part,ntf6 e) �pp � (Kind) jpJ (Number f
Heat. Systeru ^16wipe of Roofing t 2 Lex.,t — Ext Finish / /4/ �/ Int. Wall Finish G x,ri Alec'
Use of Bldg. -4-,;/3‹.. AA Qp No. of Units Z Bedrooms
Garage or Carport rltt ached -2' (4.64,1( ie Private Detatched•
' PLOT PLAN .
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location ofcexisting and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage Sys-'
tem and water supply lines.
?-,P1% 9tNORTH
-4
State License No.
OK
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit w xz 1.
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informatiog submitted is correct and there are no other structures located on this property except
as show
/K) -/R' -7z
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Ae
e zone is.fa,Y61d=.•--,0(2_''
THIS 1S HOTA PERM
Oit i
Your street address w111 b
ot7 DOA, WRITE BELOW
THIS LINE -26
Sewage Perm1 Number — Issued --
——
Remarks J P.rJ /7--i4) .%1',/! X')
Building PerMt
Receipt Issued
Form 523 Bldg. Code