1974, 03-25 Permit Application: K3976 Residencemgrof
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 7r
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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.
Name of Owner
Architect
Contractor...
814-eA/ Address
APPLICANT FILL IN BELOW THIS LINE
Phone
— kngineer
Address
Legal Description of Property (Give com•lete descr tion from deed, tax receipt, etc.)
/
6
Phone lr� C - 6 (773
Phone
Phone
V ,
S
-.111211 gI
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 0 cg. fd
Const 1-----. Dimensions ' 6 X 5a
(Frame, concrete, brick, etc.)
Rooms 7 Baths 2 Basement �i' Foundation Const
(Full, part, ne) [� �- /
Heat. System of Roofing `R S I-i .L- Ext Finish
Use of Bldg.
Garage or Carport Attached
/ 6 5-gey ci /`f4-
Moving Bld . eZone / Fire Zone ,
Sewage Syste Stories /
af . a Total Sq. Ft.
16-
Chimney
Valuation lb 11
e
Fir?p" "lace ai
(Number)
(Kind)
nt. all Finish
dU
d
No. of Units Bedrooms )
Private Detatched
PLOT PLAN
--Pi' yQ i�L •
Draw sketch with dimensions showing: (1) property lines; (2) street or roaE111ocations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
t .
cuLiirw
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Return
Plans Picked Up
Plans Mailed
rtify information sus fitted is correct and there are no other structures located on this property except
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
Tour street address will be i j 5 the zone is
Sewage Permit Number Issued Building Permit _ Receipt ssued
Remarks
Form 523 Bldg. Code