1974, 09-04 Permit App: K5681 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 77
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
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.
• PPLICANT FILL IN BELOW THIS L : E y 9W/c -,
r
Name of Owner _ _ f___. •� . . e —_, -Address _ _ - Phone��6 -67/
Architect / Address • Phone
Engineer " ti oAddress Phone
Contractor ii. -r-� ,-:-r J7-1-,...f-ei Address/� / � e�-� 0,Qi _ Phone 9aC —47/,C
w OLegal Descrf Pa Give coiption fro , ax receipt, etc.1,G!-t„c.�,.- p "a
t.
DESCRIPTION OF WORK: New L/ Addition Remodel Moving Bid . Zone , / Fire Z ne d -
Size of Lot 1CS O /X /Sr) / Sewage System C_onsC c., Br., etc.)
i / AP _ p
Stories Dimensions ' _ / - Iota! Sq. Ft," (1 CI Valuation .4b o o ?s
Roo •- 42-- the 0 ' ' sement Foundation Const. - Chimney
(Kind) Fireplace
(Num-'
(bull, part, no�J ber
Heat. System r' Type of Roofing Ext. Fin)9h / Int. Wall Finish „/�.iji-tom el
Use of Bldg. �f ,!, ?IrLAC.0 _€
4../... aQ �,gc1-[ — No. of Units_Bedroo[r�•,-Z .'
�`' -PLOT PLAN
Draw sketch withtiensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and str dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. r
State License No.
(it,„
N OZ/6i_ ,,¢,a_c_
Ind. Ins. Acct. No.
.6 �,�.___ __ I - �Z l 9 REQUIRED
c
Plumbing Permit
4
in Heating Perm"
in A a
N N Sewage Permit
-1 -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
4 Plans Mailed
SOUTH
I hereby--Llertify "nfor tion submit ed • correct and there are no other structures 1 cated on this property except
as showk./ / � ` 7
x
Owner or Ag t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
144 044-0 DO NOT WRITE BELOW THIS LINE
dZ
Your street address will be //4i%7-0-::-:- 7, 2. /7--/%0 a------ The zone is c2 7 t.L4/
Sewage Permit Number Issued Building Permit Receipt7cf//l Issued ./..�/3'�
Remarks
Form 523 Bldg. Code