1975, 06-04 Permit App: L0354 Duplex /e-744111
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._. CYO
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 �
�r r-202 0
Name of Owner � - ., i/, Address I.
Phone
Architect } Address Phone
Engineer // Address f/ /7 / , Phone ,7
Contractor Address Phone
Legal Description of Property (Give comp to descriptio9jom eed, tax receipt, c.) _
i 9 ' ./ , =/
. YY,
DESCRIPTION OF WORK: New Addition ;_model Moving Bid Zone / Fire Zo a ��>
Size of Lot / /1 ,-2 5 Sewage System 4,I� �Y+onst. ,--1-e E--
4. (Fr., Cr., etc.)
Stories e Dimensions /V / / _ �(. " -2) Total Sq. Ft;���cf Conc.,
4j co. 6'i
-� Valuation
Rooms 7 Baths Basement �.t Foundation Const. .• Chimne ,�.e/c�
(Full, part, none) Y Fireplace
(Kind) (Numb r i
Heat. System G{ Type of Roofing .a_./ Ext. Finish /Z Int. Wall Finish ?4�!)t.✓�-e-
Use o Bldg. ` 3z4 ` /�'Zl_ ''__. (1• _ l No. of Unit c'
�—� g�Bedrooifis
, CLteC ,7r`j '- ..,�' PLOT PLAN ...
ti
Draw sketch ith dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines efci street (5 dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. � ,X 4
NORTHState License No.
p rf c,.7)3 -- Cf Aig
�W, Ind. Ins. Acct. No.
vo ...s,
•V\ REQUI ED
f \ .;
�` �b Plumbing Permit /
< /. \ �, Heating Permit :FSC& (—Ze /sc t
to _ a/1l4.' i ? AL- Z '/U b U j),Lt")/ i 4~1/11_ to Sewage Permit
id / Plans Received
Plans Checked
` o ti
C o '' Plans Returned
/4 Plans Picked Up
Plans Mailed
SOUTH
I hereby cert� rn�r.,. : su fitted i correct and there o the ructures located on t s pro ty except
as shown.
I ,•r or Agent Date
A LAND USE OR IRUCTURE PERMIT MUST BE ON THE PREMISE EFORE CONSTRU TION COMMENCES.
THIS IS NOT A PE MIT.
j• -M -744G12 0 DO NOT WRITE BELO z HIS LINE
Your street address will be (, /.3f/ ) --j.. .31.,4t 6(4)4_. The zone i&k 1 /J/-t4YK "47144--
Sewage Permit Number _ Issued Building Permi ,5 Receipt '7 epi 7 3 Issued
Remarks
Form 523 Bldg. Code