1971, 07-13 Permit App: J0070 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 and 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 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 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.
Name of owner��[�"� /����'"� AUoress
Architect hone Engineer
Contractor— i Address
Leg&Y sc i io of Pro ert Give mpl teXscription,4rom
Phone��,,//
/ S, Phongw ,3S -G 3 i
receipt, etc.
%sic .7-"2,S
DESCRIPTION OF WORK: New L/Addition Remodel MovingBld . Zon �_ Fire Zone—
Size
one
Size of L t 103 d Sewage System Stories
Const. Dimensions `3� Total Sq. Ft. O Valuation ,,Z/ O�
(Frame, c trete, brit ,/(etc.) �—
Rooms Baths yBasemen Foundation Const. Chimney Fireplace Z—
(Full, part, none) - (Kind) (Numb
Heat. System Type of Roo ' Ext. Finis Int. Wall Finish
Use of Bldg. No. of Units — Bedrooms
Garage or
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
State License No.
92..2,3 of Z o- Z
Ind. Ins. Acct. No.
.1
NORTH
�� agoS
J�
(3) location of existing and
(6) location of sewage sys-
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer f o tion sub d is correct and there are no other structur s loc ed on this property except
as shown.
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
fWRITE BELOW THIS LINE
Your street address will be J (.�.— y % e zone isi r
Sewage Permit Number Issued zi,,z Building Permit Receiptf�Z-2 Z Z Issued
Remarks
Form 523 Bldg. Code
W,
4
tc L I ),c
/060 Jett.
—I— j .
4I
,y, SS►oma ue