1977, 03-23 Permit App M2865 Duplex, Garage, BasementCertify of Spokane, Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
s�
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 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.
PPLICANT FILL IN BELOW THIS LINE 9 p/ 97 - 73 v/
1
Name of Owner ( ,�i y�� �r �f Address /0,0,174) Phone
Architect Address Phone
Engineer Address Phone
Contractor Address
Le
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
I Description of Property (Give complete descripti n from deed, tax receipt. etc )
Phone
/00I /7s'd3.6 grol "67411
DESCRIPTION OF WORK: New � Addition
Size of Lot / &O/X /%S/
Storied Dimensio s
Rooms/,Q_ Bat
Heat. Syste
Use of Bld
Basemen
(F 11, part. no
- Type ci' Roofi
Remodel
ndation Const
Ext. Finish
Moving
Sewage Syste
BI¢g. Zone / Fire
gust
// ..
Total Sq. Ft Valu
//(
c., Br., etc.) Gv
Chimney �
(Kind) Fir lace jc5)
/
Int. Wall Finish
No. of Upit — Bedr
PLOT PLAN .-o
Draw sketch with dim n� sions showing: (1) property lines; (2) street or road locati; (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.
(Number
SOUTH
I hereby certify information submitted is
as shown.
Owner or Agent
RESIDENTIAL — COMMERCIAL
Ind. Ins. Acct. No.
Plumbing Permit
n+ Heating Permit
ut Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
c3 - 73 - 77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IStNOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number