1971, 07-13 Permit App J0069 Duplex, Carporti
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE / —3
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 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.
ArCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
F-,'1ICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
wh_ch are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner -DOA FYI5K - Address !// S.. e/-1ry—%'t_Ss' Phone if' / S y7
Architect Phone Engineer
'9 Phone
Contractor'-y;,6X. epyyS1j.Y, 'ffdyi ea. Address T�� ----S.T'/� i",0 r/^r Sg Phone !tt'i9-`,/ j-Df%7
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,e)' ` , ,'%cam C'4 /
z� .4 ` $ C / it ,,
'P('EL /4e.5--171I — Cf % c
DESCRIPTION OF WORK: New P.----- Addition Remodel
Size of Lot /0 3 x / 72-
Const Ft FOX Dimensions y/ f)(4f (A * e.3a X ie
(Frame, concrete, bric) etc.)
Rooms____ Baths _i_< Basement AA-Y.-Foundation Const C' )i [5. re. -1-.e...
(Full, part, none)
Heat. System 1.4, Type of Roofing idii LD L11a Ext Finish
Use of Bldg. fe.trri C-P ,1) u p%
Garage or rport ttached pe
Moving Bldg. Zone / Fire Zone -----
Stories I
Sewage System
Se197) e_
Total Sq. Ft e O Valuation
36 saga, g
Chimney Fireplace 2.
(Kind) (Number)
tal y 7ei/ry, Int. Wall Finish .9/+ 4! f
No. of Units .. Bedrooms 3
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.
tn
NORTH
SOUTH
I hereby c ; tify information submitted is correct and there
as shown.
Owner o
Ts
-�
are no other
State License No.
23 $ / /a /0-
Ind. Ins. Acct. No.
- 277 .270
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
3-7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
e zone i
Sewage Permit Number Issued /_ Building Per Receiptdd
Remarks
Form 523 Bldg. Code
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