1971, 07-13 Permit App: J0073 Duplex•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �3
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.
NATER. 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 Staty
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 //--
Address - �-� - Phone kJJ 507'
�- I Pe Engineer Phone
C �`^� C -CJ i Address // '` '
Name of Owner
Architect
Contractor !�
Leggal�esc i� i o P rty (Give complete esc •'ptigh�from dee tax � gipt, e c.) /q �A 6 ,'
f'ai-cam( tit. /y.5 ---y/-02,2
Phonele
DESCRIPTION OF WORK:/lxweAddition Remodel
Size ofL /03 Y/ t, /
Const. Dimensions 414/ X L7 t, '4- 3 �- X ice'
(Frame, concrete, briclretc.) /
Rooms �t Baths BasementFoundation Const. -�� Chimney Fireplace �—
/ (Full, part, none) / I/ - (Kind) (Numbe
Heat. System = ype of Roofi y j.. Ext. Finis �� , ��-� - -or Int. Wall Finish •�.•OO�c,-ate'
Use of Bldg. �����- — `��_ // 1 i No. of Units 2 Bedrooms 3_
Garage or Carport Attached - N-, -1 ���i�==� /�
Moving
Sewage System
Total Sq. Ft.
Bld Zo e
l
Fire Zone
Stories
Valuation :V (co0
3
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.
NORTH
SOUTH
witted is correct and there are no other structur . loca ed o this property except
I hereby ce
as shown.
ormatio
m
N
State License No.
AP -3 0 / /O 6/2—
Ind. Ins. Acct. No.
A 77 .2--7t
REQUIRED
Plumbing Permit -g
Heating Permit //
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/ / / )1O NOT WRITE BELOW THIS LINE
/ u ��J
Your street address will be /` 5 Q J i = The zone i§�
Sewage Permit Number _7/
Issue Building fermi D 05 Receipt7 - — sued
Remarks
Form 523 Bldg. Code
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