1973, 03-27 Permit App: K972 Duplex-7 County of Spokane, Washington
5 BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT or>
GENERAL REQUIREMENTS PERMIT FEE_____________?�__C,�.__.'�
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.
NATER. 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
Name of Owner ess //na,.1 C . —4), --5'-Phone — _�7
Architect _ Phone Engineer_ 7� 902_ Phone
Contrac Address t Q��p Phone
Legal Description of roperty (Give complete description from deed, tax receipt, etq.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone_
Size of Lot Sewage System L,�e 42 C- StopesConst.- Y /n42 -Dimensions OCA f -n y X v- Total Sq. Ft. cs S7 t &ZI Valuatio>f"
( Frame, tonciete,brick, etc.) k (o /
Rooms ath Basement Foundation Const. C O /1S /' e L -P Chimney Fireplace _ �
C� ee ae'i (Full, part, none) (Kind) (Number) /
Heat. System S��Type of RoofingAR Ext. Finish rs3-m P - Int. Wall ish f l
Use of Bldg. _�jQ J 61 ( 4-- >! No. of Un' s edrooms
G,araf eo Carport Attached C-1 ��r��—�3 Private Detatched
PLOT PLAN
D aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
prop sed buildings; (4) distance to property lines and streets; (5) dimensio uildings; (6) location of sewage sys-
tem and water supply lines. 'A y�
�/P /_1 NOR C7 State License No.
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Ind. Ins. Acct. No.
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Plumbing Permit
Heating Permit;-_/76y-
Sewage
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Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
certify inf rmation submitted is correct and there are no other structures located on this property except
/ Owner or Ag"PER
Date
L ND USE OR STRUCTURT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will beA/�Z i � J a .11 q / y_�? P_✓_fia zone is
Sewage Permit Number Issued Building Permit ceipt Issued
lt6arks
Form 523 Bldg. Code
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