1971, 07-13 Permit App: J0071 Duplex•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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
le 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
]past 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.
PPLICANT FILL IN BELOW T IS NE
Name of Owner ddress �a ' - - Phon
Architect Phe Engine rr Phone
Address +/ I to t� �— Ph on= i —
from r ed, to r eipt . , 11 N1
, / , T sou, '51/410
Contracto
Legqesc pt Pr erty (Giveaomplete descri� ioy
/,� /
Gtrc— t_ - /416--41/ -- t 7e
DESCRIPTIONF WORK: New Addition Remodel Moving Bld• Zone
Size of,..list /0 3 )O b�� f Sewage System
Const Dimensions - -( X �4 "T 3-2 X IS' Total Sq. Ft '� / 0
(Frame, concrete, brick/etc.) /� �
Rooms if Baths / 4 ---Basement( - —
Foundation Const
(Full, part, none)
Heat. System pe of R
Use of Bldg
Garage or
Fire Zone
Stories
Valuation alis d
Chimney Fireplace -
(Kind)
Int. Wall Finish
No. of Units Bedrooms
- Ext. Finis
Attached
(Numbs»)
Private Detatched
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.
I hereby c
as shown.
SOUTH
m
N
State License No.
2.23 0 / //9 ‘,/x ---
Ind. Ins. Acct. No.
.z77/.Z9a
REQUIRED
Plumbing Perm
Heating Fermi
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ormatio emitted is correct and there are no other structur
lo ated on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
y asO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued /4(?/ -3
Remarks
Building Perm
e zone is
o1/ Receipt 9
Form 523 Bldg. Code
103-
4
441
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