1971, 08-06 Permit App J0293 DuplexCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND 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 most 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 Ritgineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
SET -RACK 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 throu9 civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE, 992DS
Name of Owner NIJJ fe
Architect
Contractor
Legal Description of
Phone
ion from deed„ tgx receipt
Phone F11 -a T/J
Phone
Phone
etc.)
DESCRIPTION OF WORK: New _k�_' Addition Remodel Moving Bid . Zone �— Fire Zone -3
Size of Lot �� X /fid -
Sewage System Stories
Const.Dimensions ce Total Sq. Ft. Valuation .41DOO
(Frame, concrete, brie etc.)
Rooms %D Baths --.2_ BasementSA& Foundation Const. Chimney Fire lace
(Full, part, none) 77�r (Kind) (Nu
Heat. Syste Type of Roofing Ext. Finish Int. Wall Finish ^^^"-
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached Private Delatched
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 SUDDly lines.
NORTH
SOUTH
I he
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 1/
ww Heating Permit
NSewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Ow r Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO Nol WRIT OW THS LINE p
Your street address will be — — � e zone !d
sewage Permit Number Issued Building Permit 2(8 o ) Receipt 7h��0 Issued o -(o
Remarks —
inrm 01 Riker rnd
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