1977, 09-23 Permit App: M3467 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT // j
GENERAL REQUIREMENTS PERMIT FEE.l /_'...........
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. Nater 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 r7/-, -7 / -
Name of Owner Address
Architect V Address
Engineer Address
Contractor �!� n J Address
Phone
Phone
Phone
- Phone
DESCRIPTION OF WORK: New Addition Remodel Moving B g. Zone Z Fire Z nem_
Size of Lot X /SCI - Sewage Sy ste Const.
Fr., C Br., etc.) tb�
i
Stories _Dimensions - Total Sq. Ft. Valua ion �o��c9 dr7
Rooms Baths/'� Basement Foundation C nst.. Chimney Firepst ce -L
Fu 1, part, n (Kind) (Number
Heat. SystemTypeA e of Roofing Ext. Finish �l Int. Wall Finish
Use of Bid No. of Units —.Bedroo
Draw sketch with d
proposed buildings; (4
tem ad water supply 1
M
-i
'10
L
U ` PLOT PLAN
ensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
distance to property lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
es.
NORTH
KrA
State Lice se No
111 Ino Acct. No.
RESIDENTIAL - COMMERCIAL
IRED
Plumbing Permit
in Heating Permit
to
Sewage Permit
iA
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
avu r n -
I hereb tify informat n submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE KRMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/,7a p 7 - v % DO NOT WRITE BELOW THIS LINE
Your streetad ess abe v The zone is
sewage Permit Number Issued Building Permit Receipt 4 Issued
Remarks
Form 523 Bldg. Code