1971, 07-13 Permit App: J0074 Duplex• • •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201 U
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1
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 must 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner PO A/ .Q J s c Address %1/ s
PhoneW44/-1/45-401 7
Architect L�hone Engineer Phone
Contractor f, Ske CoCg s' - G , Address 9 -S:
Legal Descri t io9 of Proper (G�ive compl/e/�je de trip�/,on from ee
l� r� 0 .� /.b- V.V it ir!' /v
//
DESCRIPTIO? W
OF ORK: New J.
Addition Remodel
Size of of / J
Const.7.-4-.4-e- Dimensions ¥ 4X44-4- 3z k 18
(Frame, concrete, brick, els.)
&-Basement Foundation Const
(Full, part, none)
Type of Roo i le%. A--, Ext. Finish
,i 'i /
X/Lf*
Phonejv ft /ASO 417
tax rete pt, ett.) ,4 O44- / II JD
Moving Bld Zone 1 Fire Zone
Sewage System I
Total Sq. Ft..�. Valuation /�
Heat. System
Use of Bldg.
Garage or
tached
Stories 1-1,
3 soo
(Kind)
Int. Wall Finish
No. of Units ,2- Bedrooms _
Private Detatched
Fireplace
(Num
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 hereb ' fy •rmation ted is correct and there are no other structures
as shown. /-�►/�
�:.
I, ..01-1-1;
Ower or Agent
m
N
State License No.
.223 0/ /0‘/-2--
Ind.
off/.Z
Ind. Ins. Acct. No.
.2 77, a- 9�
REQUIRED
Plumbing Permit//
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
l �7�4.110 NOT WRITE BELOW THIS LINE
Your street address will be 45
—
Sewage Permit Number Issued
Remarks
to
locat
0
this property except
CONSTRUCTION COMMENCES.
e zone i
Receipt 1i- ysued
Form 523 Bldg. Code
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