1971, 11-01 Permit App: J1181 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /� �%�
GENERAL REQUIREMENTS PERMIT FEE ----- '_l__�_____._ _
tructure
PERMIT or alteranyanylbuildinguse oorsstructurrepalreadyserected, ory touchangesallandtReoutionuse.erConstructionnmust conformr
rwith 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner `ddresa Phone AVX g!
Architects 9- e5=40, fig, Pho En '
gineer Phone _
Contractor Address � �^ !! i
^ Phone fes- _� X37:/
Legal Description f Pro erty (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New /� Addition Remodel
Size of Lot 1 dL� : / Hid Moving Bldg. Zone ____�Fire Zone
Sewage System -_ Stories
Const. _�.,,� _Dimensions _d' X 2� !^ ��9 Total Sq. Ft. Valuation Q� - —
(Frame, concrete, brick, etc.) �
Rooms 2_Baths Basement � Chimney Foundation Const. Chi
(Full, part, none) y Fireplace
(Kind) (Number)
Heat. System ✓31,x. Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg.
e No. of Units Bedrooms _
Garage or Carport Attache Private Detatched
PLOT PLAN
Draw sketch with (1)Proposed buildings; (4)mdistances
towproperty linesrty andlstreets; (5)rdimensions of buildings; or road loctins; ((6)llocationoofesewagegsyan
sa
ocati
tem and water supply lines.
NORTH
U" State License No.
i
I here :y e�tify
as shown. 111
A LAND US"R STRUT
THIS IS NOT A PERMIT.
SOUTH
lil-subYtted is correct and there are no other s
do"-1—
Ind.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit _p 4111t,1
Sewage Permit Afue F,r
Plans Received.
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed —
ures located on this property except
'l/ /
or Agent
Date
:TORE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Your street address ill be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
Issued
DO NOT WRITE BELOW THIS LINE
3
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