1971, 11-10 Permit App: K16 Duplex County of Spokane, Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
'
GENERAL REQUIREMENTS PERMIT FEE
1I- --
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 47-255.
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 Q.3/0442,04,a- 414..1.0&
Name of Owner ` Address 1 07 I V. - , P? jrsr.Phone A 4---7-'fir
Architect Phone Engineer Phone
Contractor : r , Address = , /0 7 Pj. __ 3 is -. Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
�-o-'7 7 ,S,)/r?/ 6 (1,4 : t . ?
DESCRIPTION OF WORK: New Addition Remodel t" ;, Moving
Bldg. Zn. / Fire,Zn ize of Lot ) JD X J 2s- Sewage System 4 .(,,i * ( Stories
$jPTIC TANK,ETC.)
Construction Dimensions go .x 36 Total Sq.Ft. 21 S' 4 Est. Cost4), DDD. DZ1
(FRAME,CONCRETE,RRICK,ETC.)
Rooms 1 BasementL,PART,NoFoundation Const. Od .le'w Chimney(KINo replace HtB,ASRss Ea`EFuel i• ,n
Garage .. Attached Type of Roofing J. .) • Ext. Finish /1 Int. Wall Finish .1 '..t.tr--,
'0 (COMPOSIT ION,SHINGLE,ETC. ) (SN. ETAL,SHAKE) (PLASTER,ORYWALL,ETC. f
Use of Bldg. 1 No. of Families Miscellaneous
�a / PLOT PLAN
Draw ske wi .ime ions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings! (4) istance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply li es.
9) + IMI 1 e 1 I ,/4sr
cR .t
. 7
T tl �O• REQUIRED
d4.
Plumbing Permit
Heating Permit
N.
Sewage Permit
.� Zo )0---- 29' j24' lit, 29'—) 223 - o /--4. 69
..t. 6, ,..5- 7/
o 7(
4,1
R,4s T fo CIRCLE s jca ' tri/. a _491-C4-i`-tit
hereby certify informationsubmitted is correct and there are no other structures located on this property except
as shown. r. , ,;,,e" /, ,f/f:', , ) M'17': I i' f 1, 7 1''
Owner or Agent Date
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
..-YM DO NOT WRITE BELOW THIS LINE
A11a i.
Your street address will be .i► ./.....a.� ....._., . .r. 'e zone i ` i f/d°-(,! 1,/ "-'
Sewage Permit Number Issued Building Permit 117/67 ReceiptL}1) Issued
Remarks -
Form 523 Bldg. Code-5M Tripl.