1975, 11-18 Permit App: L2136 Duplex1111
County of Spokane. Washington
4'
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE
1 GENERAL REQUIREMENTS
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 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.
99.2..�,a
Name of Owner
Architect
Engineer
Contractor /
Legal Description of Property (Give comp) to description from deed, tax receipt, etc ) —Q� 6, ell d C3
�-6�4/e)i)6Z s_yag .PJjUi.lr'?S—
APPLICANT FILL IN BELOW THIS LINE
Addre ,G! Z /i/ Phone
Address Phone
Address Phone
/ 1 /r // / l 1 / •• //
Address Phone
/
ow741 02 QcS` d 7 4>eRR/N r ,e7`'
�e1 /d. ®9J` ..2 JO/
DESCRIPTION OF. WORK: New~Addition
Size of Lot
Stories
Rooms
Heat. Syste
Use of Bldg.
Dimensions
Baths Basement
ulI, part, none
Type of Roofing
i
I
a
10 d
Remodel
Moving
ewage Syste
Foundation Const
BI.. Zone , / Fire Zo e
� onst.
Fr., Con �t 0 O ci
tal Sq. Ft.. Valuation
Chimney Fireplace �-
(Kind) (Number
Ext. Finish",4�%/i//72. Int. Wall Finish 4:19111
No. of Units 2Bedrooms
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.
m
m
NORTH
177 silei5 c:
I hereby
as shown.
SOUTH
ion su
ner or Agent
A LAND USE STRUCTURE PERMIT MUST BE ON THE P
• THIS IS NOT ERMIT.
itted is correct andere are
‘;;111
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permi ,J /
Heating Permit .1°Q?' l.Ct
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
Date
ISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
• Your street address will be / ;7c,3 .27e)
Sewage Permit Number
Remarks
Issued Building
The zone ism-9'"'
Perm r - Receipt J/ G 7 Issue
Form 523 Bldg. Code
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r?ittral Nu: 0?5i44- 4.2)'o/
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