1973, 04-10 Permit App: K1166 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a / o 0
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
I
Ind or alter any building or structure already erected, or to change a Ind use. Construction out conform with the
Spokane County Building Code and Zoning Ordinance. Construction 1s subject to inspection.
WATER. Mater supply must be approved by the County and State Health Department.. Were rork m water connections disturb.
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 Nom. 45-133 mnd4T235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back it= 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 tbestructure but. 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 will staked by County Head Department and work must be
performed in accordance with stake.. Points of ingress and egress must be approved by the County Engineer.
MOVING OP 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 provislpm of covenants or dedications and easements running with the Ind
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE J -1, .7,y.e,1A
Name of
Phone W A'f E 7/6,
Contractor 1411 Vb
Address
Phpne
nSa/
Legal Description of Property
�01,ve camp],ete deseripti from,deetl, tar receipt, etc.)
.Yt -y
kOT/ a
'iM1-:a-d-rl u¢„tet /l�l�Y
DESCRIPTION OF WORK: New(._ Addition _ Remodel —Moving _ Blde} Zone J Fire Zone �_
Size of �.SyL( AS3� Sewage System SK101 Stories /_ .p
Const_�Dimensions x 7/a� -- ;2 / 'y 7G Total Sq. Ft. - " q Valuation 41,Oddd
(Frame, concrete, brick, st J �jgSEM NT FiN'5#2 t�
Room tA0 BathsZ Besement76,L Foundation Const �N'M /' Chimney�wc—
AFireplace 1S.19SA-
(Full, part, none) n (Kind) ,( (Nurnixr)��
Heat System Type of Rool
Handling —4-t2ta. Ext. Finish %Y// Nt. Wall Finish
Use of Bldg. Qr G No. of Urdfs Bedynnowa " ek
Garage or Ceryart Attache 8e%t'L Private Detatehed
PLOT PLAN
Draw sketch with dimensions shoving: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property linea and streets; (5) dimensions of buildings; (B) location of sewage sys-
tem and water supply lines.
Bt a[e Licenme No.
Ind. Ins. Acct. No.
Owner
A LAND USE
THIS IS NOT.
t
Your street address mill
Sewage Penit Benet'
Remarks �1dPiAfAL_ /:
Farm 523 Bid,. Cada
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plane Picked Up
Plans Mailed
SOUTH
submitted is correct and there are no other structures located on this property except
V Date
PERMIT ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
*se zme isi Gii
Isaued Building PermitAMz gl-/ ec
-� ReiPt .1 O T% Issued