1975, 06-04 Permit App: L0349 Duplex s
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__,VCTV
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 BEL•W THIS LINE _
��� " '(mrd _ •• Phone AlNE _ j�
Name of Owner v Addre
Architect Address Phone
Address Phone
Engineer f/ // �i ,f /./ /l r
Contractor
�f Address Phone
Legal Description of Property (Gave complete des ip ion from deed, tax rec-eiippt, etc.) _
l
DESCRIPTION OF WORK: New , Addition Remodel Moving Bldick,
Zone / Fire Zoge ..,..„,f_____
/v
Size of Lot X/2 r- Sewage Systeos= E'er Iy�onst.-� •
A
7 1Fr., Conc., Br. etc.)
Stories/1 Dimensions A / " , /" - 7, ef / )Totai Sq. Ft�-J S< Valuation s VV. (PC's
Rooms Baths Basement `'!-> Fo ndation Const. Chimney in ) Fireplace lNu b r
(Fullll, part, none)
Heat. Systen. - -.S. TypeofRoofing �J '' Ext. Finish Z;—./.1. Int. Wall Finish LSlOa- C
i
Ose"'oi'RIdg. R-ii 'A` i 7) 'E11.. CA"�.�' No. of Units Bed ms r
(_<-Zee( 75 /8; 6 PLOT PLAN
Draw sketch with dimensions showing: ( ) 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 ii / State License No.
90 =-1 3—c,i-- $9Uj
lCc� 1
Ino. Ins. Acct. No.
rei
N \ REQUI ED
�o I Plumbin Perms , +
�,lj��1 -1 -';\''1-6.X h nr Heating Permit �CU „....,/
!/Ize
N� ,:'L �� / /N N Sewage Permit
Ao / - -I
/ Plans Received
µ- Plans Checked
'•I - / 8/ ,,P/ Plans Returned
.‘ i
Plans Picked Up
Plans Mailed
SOUTH
,9b/
I hereby y a d / 10 submitted is correct and there a4e��po ter st uctures located on,�t^his �jopert except
as shown. Li' -7„,y" / S- ' 21)
ner or Agent Date
A LAND USE 0 STRUCTURE PERMIT MUST BE ON THE PREMISES B ORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
144 - 2 DO NOT WRITE.- BELOW TH S INE
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Your street address will be > /4 9.S "'/ ? 3/ -At 6,1,4_,' The zone is 4 . !�!'/ i -A
Sewage Permit Number IssuedBuilding Permit Q 3(/ Receipt 7 %3 Issued
Remarks l!
Form 523 Bldg. Code