1972, 06-07 Permit App: J3295 Duplex• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.. l
RMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
nd or alter any building or structure already erected, or to change a land use. Construction mast conform with the
okane County Building Code and Zoning Ordinance. Construction is subject to inspection.
TER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
e surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
WAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
T -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
ast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
d egress.
UNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
rformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
VING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ghway, clearance must be obtained from the County Engineer and/or State Highway Department.
CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
ne of Owner Dan T. ci0' Connell Address East 12604 Sprague Phone 92d-5700
:hitect Phone Engineer Phone
❑tractor same Address
gal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 1 Blk 1 Blaines Subdivision
- .7--5e5(
ESCRIPTION OF VyORK1 New Addition Remodel Moving Bldg. Zone / Fire Zone 3
ize of Lot 72.72X121.98X92.64 142' 24x12+24212 gar. Sewage System septic Stories 1 1/2
Total Sq. Ft 2784 Valuation 34, 000
oast. frame Dimensions 24x23+24x23+
rame, concrete, brick, etc.) each
ooms 4+4Baths 1 1/ 93asement f -'Foundation Const COriC . Chimney Fireplace -0-
(Full, part, none) (Kind) (Number)
eat. System elec. Type of Roofing comp. Ext Finish masonite Int Wall Finish sheetrock
se of Bldg.
tW
arage or Carport Attached double attached
No. of Units 2 Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
ZS
NORTH
BiVat w r3
NG
I•)(ttPUl'T.
I hereby
shown.
/q2I
SOUTH
State License No.
223-01-8302
Ind. Ins. Acct. No.
266=450
REQUIRED
Plumbing Permit
m Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ify information submitted is correct and there are no other structures located on this property except
Owner or Agent
Date
1 LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
'HIS IS NOT A PERMIT.
(9 f 14/14 C DO NOT WRITE BELOW; TH S LINE
sur street address will be
wage Permit Number
marks
Building Permit
e zone i
Receipt
'orm 523 BI dg. Code