1975, 11-18 Permit App: L2135 Duplex•
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 1
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 +
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 B OW THIS LINE
Name of Owner
Architect
Engineer /
Contractor
L
Addres`
Address
Address
Address
//
iption .f Pro.ert ( ive c. • ete descri tion from deed, tax receipt, etc
ii%moi i a�� i i/f'c! f71D6 h' J�~
•,LJ'# 2 7Z z_ 2 4/eiez/ivc G. -f:".../721)/ GUS/(�il.
,gam 10d . 0t 41
DESCRIPTION OFFWORK: New V Addition
i
hone
Phone
Phone
22v
/0
Size of Lot
Remodel
Moving Bldg. Zone / Fire Zone
eanrage System onst.
%%����jj�� �Fr., Conc., Br., etc.)
TJQtal Sq. Ft..41'L9_� Valuation c_5-- 0 0 0
�C../tE'L Chimney Fireplace �r
(Kind) (Number/
Int. WaII Finish Ae
dein 4,1A1---4
No. of Units Bedr s
Stories t`'S Dimensions
Rooms BathsBasement
(Full, part, non
Heat. Syste b + Type of Ro
Use of Bldg.
Foundation Const.
Ext. Finis
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby erfy
as shown.
tion
er or Agent
SOUTH
State License No.
r,123-6/- %043
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permi
n� Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
mitte is correct a Ap are no other structures located on this property except
•
9)44.- - 73- A
Date
A LAND USE O7• TRUCTURE PERMiT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A P RMIT.
If _ST 14(4 DO NOT WRITE BELOW THIS LINE
The zone is
Receipt //,
Your street address will b „7.:2� --2-74-1 c ,
Sewage Permit Number Issued Building Permit
Remarks
Form 523 Bldg. Code