1973, 01-05 Permit App: K340 Duplexn
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Coccnty of Spokcane, �k►ash6n(�to�e
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE c-"$60.00:
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
iokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
W TER. Rater supply must be approved by the County and State Health Departments. Where work onwater connections disturbs
t e surface, shoulders or ditches of County Roads, permission most 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 -RACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the tront 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-bf-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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
MGR Inc.
Same
Address East 219 - Grd Avenue Phone
Phone Engineer Phone
Address - Phone
TFP-8441
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 6, Block 4, Hillcrest Acres 3rd Addition
Parcel #27544-1906
DESCRIPTION OF WORK: New X Addition Remodel
Sire of Lot T,79611 dx 140 x 934,.5 x 135
Const. frame Dimensions 69.6 x 26.6
(Frame, concrete, brick, etc.)
Rooms 4 Baths 2 Basement full Foundation Const concrete
Moving Bldg. Zone
Sewage System septic
valuation $37.900
Total Sq. Ft.2S905
1 Fire Zone
Stories 1
(Full, part, none)
Hent. System electric Type of Roofingasphalt comp Ext Finish
Use of Bldg.
2- one car attached
ige or Carport Attached
Draw
proposed
tem and
etch wi
ild ing
er sup
T-111
ChimneybriCk
(Kind)
Int Wall Finish
No. of Units 2
PLOT PLAN
dimensions showing: (1) property lines; (2) street or road locations; (3) location ofexisting and
(4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ly lines.
Fireplace 2
(Number)
drywall
Bedrooms 4
Private Detatched
NORTH
See attached plot plan
SOUTH
IVI
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H
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Emerson
Heating Permit
Sewage Permit
United
Loshbauqh
Plans Received
Plans Checked —.
Plans Returned
Plans Picked Up
Plans Mailed
1
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
South e22/.2
e zone
'690 Receipt
Remarks • :,
Building Permit
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