1973, 05-14 Permit App: K1646 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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.
APPLICANT FILL 114 BELOW THIS LINE
Name of Owner t % ' it Z Address / 7 / �
/ � _ / ,.
Architect n n Phone Engineer I'— ,,a_zAJ.,a 2.0/4 Phone
Contracto Address Phone
Legal Description Of Prope ty(G've complete description afrom deed, tax receipt, ee.) 7,5 7/.11?-7 4- / 3 39
Addition Remodel Moving Bldg. Zone _ / Fire Zon
�/ i Sewage Systen}, -c---C/ Stories '-'-----
t' = = Dimensions /A 'X • y Total Sq. Ft �/7f> °a
oncrete, brick, etc.) q Valuation J40 —
ooms Baths / Basement- (L2 Foundation Const (-C LL, . s°' Chimney le Fireplace/ 10
yFull, part, none) �/ (Kind) (Numb r)
v Type of Roofing 4Y Ext Finish " /fly Qp Int. Wall Finish
r ' e _ �•`� -a-a- C-°'e-e'`'.--c_-_, No. of Units / edrooms -_
✓- __.e.J Private Detatched -CJ
Phone e-e/ V- -979
DESCRIPTION OF WORK: New
Heat. System
Use of Bldg.
age or Carport Attached
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
r,e()--=(-
raP��
I
as show
SOUTH
State ense N .
REQUIRED
Plumbing Permit
�w Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ereby cs; y information submitted is correct and there are no other structures located on this
%
Owner of• Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
property
except
`e c e-71/ 114.4 DO NOT WRITE BELOW THIS LINE
• e zone is / / el/rQ/
I L, (it! Receipt2C/ 3 7 Issued
Your street address will be
Sewage Permit Number Issued
Building Permit
Form 523 Bldg. Code
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