1977, 06-06 Permit App: M1707 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
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 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at i
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 I
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 6
Name of Owner /gOAf2 y 4 °/ ' u '1 Address l vfAk ( C.16 k// v' Phone
Architect // Address Phone
Engineer Address Phone
Contractor --a'a"--zAddress ‘eI""r ' ' — .7ie _
Legal Description of Property (Gi)re complete description from deed, tax receipLpgtc.) ParcelymberPr e "O-1
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot /70 ' / Sewage System Sett l onst. t' 2 ' e
c. • X ,� / J ) VCon - Br., etc.)
Stories Dimensions Total Sq. Ft p S Valuation - S�' 4)
Rooms Baths � Basement Foundation Const.. Chimney Fireplace
(Full, part, none) (Kind) (Number
Heat. System//e c �/- -- Type o Roofin. `� / Ext. Finis77-1//
/)
Int. Wall Finish Ork7
�� �/
Use of Bldg. - -� � 1L _' cfi- '��� No. of Units—Bedrooms Y
PLOT PLAN
Draw sketch with dimensins sowing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) dis :nce to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State Lic,rNo.
Ind. Ins. Acct. No.
c--
RESIDENTIAL—COMMERCIAL
REQUIRED
Plumbing Permit
nr Heating Permit
m
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
•
SOUTH
I hereby certify infor, tion/st112mitted is correct and there are no other str cture located ,n this •ro.-rty except
ass n. C a
Ai
• .er or Agent Date
A LAND USE O' STRUCTURE PERMIT MUST BE ON THE PREMISES BEF•RE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE 'BEELOW THIS/LINE �
Your street address will be vrt-�t of f The zone is r T�j�v
7 �
Sewage Permit Number Issued Building Permit I r )p 7 Receipt 5774';C/'Issued
Remarks `
Form 523 Bldg. Code
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