1971, 11-10 Permit App J1262 Duplex, Garages11 1111111111111111 111111mill 1" 111pip
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON "409
APPLICATION FOR LACED USE OR STRUCTURE PERMIT j
GENERAL REQUIREMENTS PERMIT FEE -------------
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 mast 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 Rork 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 cap not bring action to enforce covenants or dedications.
APP CANT FILL &1 BEL THIS LINE /�(o �/
Name of Ow ne dress — Phone/ � 0 S — T-`� j
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give compl to cription from deed, tax recei t, etc.)
-- 191-1-3-3-o i -
10.1w, J
DESCRIPTION OF WORK: New !-=_�_Addition Remodel
Size of
C imensions
(Fr e, concrete, brick, etc.
Ro syr Baths _� Basement oundation Const
,part, bne)
Heat. System ype of Roofing Ext. F
Use of Bldg.
Garage or Carport Atta ed
Moving Bl . Zone / Fire Zone—
_ Sewage Systjah to es ��—
Total Sq. Ft. .0 �; Valuati
Chimney —0- Fir lace n_
(Kind) (Number)
Int. Wall Finish
a / No. of Units— Bedr s
Private Detatched
PLOT PLAN
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.
Ind. Ins. Acct. No.
REAP
Plumbing Permit ' '
rn Heating Permit r
A Sewage Permit
an
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7 _` avu r n
I hereby ce�ify information submitted is correct and there are no other structures located on this property except
as shown. ....� k A n -.41 ,1.) .. .-.1 .
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THF PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE NEkOW THIS KINE
Your street address will be/ e zone i
Sewage Permit Number. Issued ! Building Permit Receipt Issued // /03 7/
Remarks --