1971, 01-26 Permit App: I3368 Duplex• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
WRbIIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or s1`ructure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast donform 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
HTgnway, 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 dedication's.
10(
APPLICANT FILL IN BELOW THIS LINC) ,�/'��/
Name of Owner .._� ,y.r/L`... res / - r 3 /0 V .-*� �"O� Phone LL! d 6 ^Ser u
Architect mi.,-, Phone _Engineer Phone
Contractor � Address Phone
eceipt, etc.) p�
Le Description of operty (Give complete ascription from dee(,�_ta l ��
on a County or State
Cy .J., C>
DESCRIPTION OF WORK: New Addition
Size f Lot /
Const �/ Dimensions ei `� f 1 Total Sq. Ft / / f Valuation
(Frame, concrete, brick, etc.)
Rooms 1-71 Baths __—Basement L—Foundation Const Chimney Fireplace
(Full, part, none)
ofing Lt-� Ext. Finish 71— /ll
Remodel
Moving
Bldg. Zone
Fire Zone 3
Sewage System Storiefi /
(Kind)
Int. Wall Finish
Heat. System
Use of Bldg.
Garage or Carport Attached
(Number)
No. of Units Bedrooms—c',_�J
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat Ion, (3) location of existing and
�Yd
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buitti gs; (6) location of sewage sys-
t• . 's ater supply lines.
NORTH
SOUTH
I her y tify i irmation submitte
\a/,...show
eco, an
Owner or Agent
//,
State License No.
— 4 /— /O Sc2.,
Ind. Ins. Acct. No.
REQUIR
Plumbing Per
fn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
here are no other structures located on this property except
9
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMENCES.
THIS IS NOT A PERMIT. N___.c.v.
DO OT WRITE BELOW THIS LINE 2,112,CQ v
,
Your street address will be 5� 3- - • -I o` -
Sewage Permit Number Issued
Remarks
e zone is
ceipt
Form 523 Bldg. Code
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REVISIONS
NO. DATE
BY
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11
DRAWN BY
SCALE
MATERIAL
CNK'D
DATE
TRACED
APP' D
DRAWING NO.