1972, 09-06 Permit App: J4292 DuplexCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
klltIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
or alter any building or structure already erected, or to change a land use. Construction most
_S okaue County Building Code and Zoning Ordinance. Construction is subject to inspection.
06
structure of any
conform with4the
rh
UTERI) 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 to 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 1s 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
Architect
Contractor
Leg9a Desc
-41
P
DESCRIPTION OFF,WORRK: New7✓ Addition Remodel Moving Bldg. Zone / Fire Zone
/ O t )1 / 87, • / / Sewage System.OL� c_ Stores
ddress
c1,21/_22_ 7 — ce./ Phone 404 `/ = 74/-c
Phone Engineer Phone
i.er
Address -y" Phone ,te a- -n...e
df -r p5�eriy (rve comp e e description f om deetl, tax receipt, etc.)
Size of Lo // Qo
Const. 4-n- imensions Or i(.9 0 F'- D O v 2 a C. fi
co
(Fram crete, brick, etc.)
Roo or Baths r -R Basement -U Foundation Const arr77
(Full, part, none)
Heat. System tC.:_Type of Roofing Ext Finish
Use of Bldg.
Total S Ft
Sq Valuation 7ro), a
(,r a Chimney 0 Fireplace a
Win
2 t
2 N0
(Kind)
Int Wall
�r •�-Q�// r No of Units o! Bedrooms $
//
6/cR 02, 6'Private Detotched
Carport Attached
PLOT PLAN
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
I hereby certify information submitted is
as show
Owner or Agent
A L1.S1D USE OR STRUCTU
THIS IS NOT A PERMIT.
Your street address will be
correct and
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
w+ Heating Permit
• Sewage Permit
- 4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property
—ti — 2-.
except
Date
T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LIN
a
Sewage Permit Number Issued
Remarks
Building Permi
e zone is a/nr�%
Receipt\ Issued
Form 523 Bldg. Code
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