1971, 10-22 Permit App: J1102 Duplexa
County of Spokane, Washing}on of
BUILDING CODES DEPARTMENT, COURTHOUSE. 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 lith 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
andf 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 mat 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.
Architect
Contractor
Legal Descri tion o Property
Phone
ddress
Engineer
Address Phone
Give complete description from geed, tax rece3pt, etc.)
Op
Phone 474 7—e037
Phone
DESCRIPTION OF WORK: New i d Addition
Size of Lot c
Const. "/
Dimensions
(Fram6, concrete, brick, etc.)
Remodel
Moving Bldg. Zone a / Fire Zone
Sewage System - Stories
Total Sq. Ft. 1/ Valuation �,� .0 O 0
Rooms 5( Baths
—Basement-C,-..-/ Foundation Const. Chimney' Fireplace ,2
(Full, part, none) (Kind) (Number)
Heat. System �-}''� Type of Roofing. ../;"-c...../.1 Ext. Finish Int. Wall Finish
Use of No. of Units Bedrooms
Garage or Carport Attached 7(2 77‘;- -. ✓
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
247_1.4, rAttbet.da-d.
SOUTH
State License No.
0k
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit �'
841
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
/e-•;z,)--7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH1� IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
'1
Your street address will be...l• ��� //jj
e zone is ��N./lr-�-��f.I�A.I�'r'.�.Ll.+.'-
Sewage Permit Number Issued Building Permi % //O eceipt C.'' C^ Issued /6^-aZA-'7(
Remarks
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