1975, 11-18 Permit App: L2134 Duplex•
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 Addre
Architect Address
Address
Engineer
Contractor // Address
Legal ascription of Prope,ty (Give complete desqr
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DESCRIPTION OF WORK: New
Size of Lot
Stories
Rooms
Heat. System
Use of Bldg.
Dimensions
Baths Basement
(Full, part, n. e
Type of Roofing
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Phone
Phone
o e
iption fiom deed,.tax receipt, etc 4094--
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""Addition Remodeloving Bld . Zone / Fire Zo
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/_2c' /x ,42e / !/ M/yr IA'. Sewage Syste onst.
l / J (Fr., Conc., Br., etc.)
//// tal Sq. Ft. 4Valuation �- DMO
Chimney Fireplace `�
(Kind) (Number .
Ext. Finish
Int. Wall Finish
No. of Unitg22,Bedro
s
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
NORTH
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A-fie/160
I hereby c
as shown.
SOUTH
tted is correct and
r or Agent
A LAND USE •' TRUCTURE PERMIT MUST BE ON THE PREM
THIS IS NOT A RMIT.
0-A x'04'
we no
DO NOT WRITE BELO
State License No.
ln? In4/ct. N9�
REQUIRE
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned _-
Plans Picked Up
Plans Mailed
er structures located on this property except
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Date
ES BEFORE CONSTRUCTION COMMENCES.
THIS LINE
Your Lflreet address will be
Sewage Permit Number ISsued Building Permit
Remarks
Form 523 Bldg. Code
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