1972, 09-28 Permit App: J4585 Duplex renewal J0454County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PPR IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an),
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
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 a Lion. C ty Ocficials can not bring action to enforce covenants or dedications.
�� ✓�� - /. ANT FILL IN BELOW THIS LINE
Name of Owne Lr1 ,i1r
��, Address
Architect I, Pho.e Engineer
Contractor OffAddress 7
Legal ,j'q.cription of Prop ve complete description from deed, tax receipt, etc.) el
phone
3 - 3 d
Phone /LL1 2_e/j
Phone
DESCRIPTION OF WO K: New
Size of Lot _I 5-6)
Const. Dimensions
(Frame, concrete, brick, etg.)
Rooms Baths / —
Heat. Syste
Use of Bldg.
Addition
f)u f t
Remodel
Moving
C) Sewage Syste
%% //��J
Total
Sq.
�Ft.
Const. C ll(C—r
Basement Foundation
or Corp
ull, part, none)
Type of Roofing
.hed t/
Bld:. Zone
Chimney
Fire Zone
Stories
Valuation
Fireplace
(Kind) (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrooms
Private Detatched
LOT PLAN
w sketch with dime ions shows (1) property lines; (2) street or road locations; (3) location of existing and
ed buildings; (4) distance to p operty lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
'o
NORTH
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby/%ertif `info :tjo submitted is correct and there are no other structures located on this proper-, except
a s n. / L
,er or Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
OJkLL 74444Q_ .
Your street address will be
Sewage Permit Number
Remarks _
DO NOT WRITE BELOW THIS LINE
i
Issued
Building P
mit
41111111Lw
one 1s
Receip4, / ssued
Form 523 Bldg. Code