1973, 01-02 Permit App: K323 DuplexCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COU*THOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT xl"�l a U
GENERAL REQUIREMENTS PERMIT FEE _.____ 7.7_____________
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.
APPLICANT FILL IN BELOW THIS LINE �,p ,q.,( , � � j9.;Z66
Name of owner��s
Architect
ContractorvL�.,
egal ;p6cription of Prop
Phone Engineer
Address
(Give complet@ descr,�ption froig
receipt, etc.)
Phone
Phone
o¢e
��a
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bld Zone Fire Zone -5
Size of J,9t / O a X ®" ! /�
�v 7�' `— ' t� 76 � Tot 1 S System D Stories �
Const: �t.LL�Y�i.(� _ Dimensions - � q. ,� Valuation 4D d 0e)
(Frame, concrete, brick, etch. )._ 14
Room— Baths � Ba men6..-&Foundation Const. -d-'Yi - r Chimney Fireplace 42-
�,� (Full, part, none) } (Kind) (Num er), „
Heat. System • Type of Roofing-lJ'r6Cj' - Ext. Finish Int. Wall FinishAik
Use of Bldg. ALe4 41LIdA No. of Units Bedrooms
Garage or Carport Attached
/9
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Private Detatched -
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOOT
I hereby certify infgmation submit
as s
State License No.
K
Ind. Ins. Acct. No.
REQUI D
Plumbing Permi
m �/Zs
Heating Permit
D Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
r% Owner or Ag t J d Date
A LAND USE OR! TRUCTU E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be// �/o U S v7a
e zone is
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code
0
w,
SOOT
I hereby certify infgmation submit
as s
State License No.
K
Ind. Ins. Acct. No.
REQUI D
Plumbing Permi
m �/Zs
Heating Permit
D Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
r% Owner or Ag t J d Date
A LAND USE OR! TRUCTU E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be// �/o U S v7a
e zone is
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code