1972, 03-24 Permit App: J2331 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COUtTMOLISa, S,--0KA IE> WASHINGTON 99401 %
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ........... ----------------
PSRMIT REQUIRED. A land use or structure permit is required by Ccunty Resolution to erect a building or structure of my
kind or alter any building or structure already erected, or to chsnge a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is su!.3nct to inspection.
WATER. Water supply must be approved by the County and State Health DeDartwm ts. 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 Reeolutions Nr -s. 45-133 and 47.795.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -hack 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 wor must be
performed in accordance with stakes. Points of ingress and egress must he approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a Count State
Highway, clearance must he obtained from the County Engineer and/or State Highway nepartment.
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 car not bring action to enforce covenants or dedications.
APPLICANT FILL I" BELOW THIS LINE
Name of OwnerW , /A ' !l F �/� � _ Address S �1 '/`� �E.' 111E-- Phone 7� 10
Architect__ 19* 4 frI e_ Phone Fngineer —_ Phone
Contractor S`i} /z!(" Address — _ Phone
Legal Des ription of Property (Give complete description from deed, tftx receipt, etc.)
-ag c2-- 3 -- -
- -- - �o �-�� `� -- �:.� � �L- l�� �----�� �� •,ter � -T� �%.mss �T�
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot ki L k I _21 C Sewage System __ Stories �—
Const. ErAM i Dimensions FP ;-'k t G X 2 6 Total Sq. Ft. Valuation e? GC>C'
( Frame, concrete, brick, etc.)
Rooms /0 Baths ��- Basement F64 Foundation Const. _ C-, Q,-/ t- __. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System FA, 6'2L -'e% Type of RoofingCQ 7/ A rR�
Ext. Finish GE�fi1(' Int, Wall Finish -S"
Use of Bldg. _ �� 6' oL& x
_! No. of Units z--7 Bedrooms
Garage or Carport Attached7"? Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or ra-d locations;
Proposed buildings; (4) distance to Drooerty lines and streets: 051 dimpnainns of hnitdinec*
�_ SA.« TH
I hej-hy certify information
as shown. h ^ A I _
(3) location of existing 'and
(6) location of sewage SYS -
State License No. +
IndT ns., Acct. No.
C
REQUIRED
Plumbing Permit
RM Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up—
Plans
p3lans Mailed
itted is correct and there are no other structures located on this property except
7 4—%?
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON TP HE PREMISES REFO E CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LIN!:
Your street address will be ! l�` 1/ LICi Z _Z. L y / zone is
Sewage Permit Number _ Issued - _ Ruildiz=g Pery!•� Peceipt s ued
Remarks {
i
J oZ-/z
J oZ-/z