1975, 06-04 Permit App: L0351 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 .642.00
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
Name of Owner _. 4.--- 1 Addresses Phone 7 c2
Architect Address Phone
Engineer2 7 / Address r, ,/ Phone
Contractor 1Z/ - Address /*/ ."/ Phone ,"/ ,',"
Legal Description of Pr per y •Gi complete descri. io m deed, to ece etc.)
Ar /� ,..- '
65'
DESCRIPTION OF WOR New A.dition Remodel Moving BI r Zone / Fire Zone----)
Size of Lot /x/-2., f"` Sewage Syste Const. T" f
L, (Fr., Conc., Br„ etc.)
�4" X2 / ✓ 't S , Total Sq. _� �CV
Stories ?_ Dimensions �t /� � Ft �� � Valuation
Rooms ,aBaths ullBasement r420t� Foundation Const. `�N� '/ Chimney Fireplace
part, none) /;;',
(Kind (Number
Heat. Syste • I. . Type of RoofingerC.-as.., , Ext. Finish '7—'7 Int. Wall Finish 22,r-
Use of Tom ' "" ' /Gc.1C ,2 741, No. of Unitm Bedrooms r+.,2
: � >� 7`,�.? ? - /, /CJ Ae utegi-m44.i., > -
l _ PLOT PLAN j �fr�
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
,720e3— C/— -410
Ind. Ins. Acct. No.
CO' 031-
,
\s, i eGa._ 30' eo, \
e 3 n REQUIR
ip
1.Z 3,,Z \ Plumbing Permit
. o 1 c.,24 '
in Heating Permit 7 .Ll2 C'G, Cc_-
in ro
us .G' ,A,'• / feC t U}SLCy i
u N Sewage Permit
S' 1 1G/ Plans Received
7 1 Plans Checked
Plans Returned
Plans Picked Up
/ Plans Mailed
70
SOUTH
I hereby f i f coati submitted is correc a e e no other structures located th proQerty except
as shown. f �� o� / z�
GGG •X' �,,�' � '�c`� to
Owner or Agent Date
A LAND USE STRUCTURE PERMIT MUST BE ON TH MISES BEFORE CON RUCTION COMMENCES.
THIS IS NOT A PERMIT.
( 4/ DO NOT WRITE BE OW THIS LINE
Tour street address will be e j 1/g - -O 3 %,;d t; AVE The zone isSle' �� .*---.3_";t4.=L- ?e -
Sewage Permit Number Issued Building Permit (1 .( Receipt 7 it 7 3 Issued
Remarks -
Form 523 Bldg. Code