1973, 06-13 Permit App: K1984 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE...G
'EMIT 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.
WATTER. Water supplyemly ust trbe e iapproved by ed e Roads, and state Health Departments. Where work on water connections disturbs
Countypermission must be obtained from the County Engineers 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 thestructure 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 IN BELO THIS
/p^LINE
C[ 'r da est
Phone Pngineer
D
Q7
Name of Owner
Architect
Contractor / - Address
Legal Description of ery
rty (Giv .mpllette description ri✓//
�frromdeed, tax recei , etc. )
eka
Phone
Phone
DESCRIPTION OF WORK: _Addition
Size of LotS27 90
Const. ,2H/- -- Dimensions'"I'VO sZ
(Frame, co Crete, brick, etc.) %
Rooms Baths I' Basement / 47 / Foundation C
(F 11 t
Remodel
Moving Bldg, Zone
VAX
Heat. System
Use of Bldg.
roger Carport A tach d
%
Sewage System
///��!I�
Total Sq Ft
onst 4- - 2i e-
Fire Zone
Stories rife' Ye --
Valuation erg. -7 96e
himneye /L. Fireplace
u , par , none `� �/ (Kind) (Number
Type of Roofing �. 0 Ext Finis %/Cit ' elac+n�nt. Wall Finish VJYJ/. Lt ) 4
No of Units Bedrooms
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.
m
to
N
NORTH
SOUTH
I hereby 4fy information submitted,":
as shown.
co rec
Owner or Agent ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
m
N
and there are no other s
State License No.
OA"
Ind. Ins. Acct. No.
REQUIRED y(/�
Plumbing PermitSY11'/f4
Heating Permit
Sewage Permit
L -i
L -c
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
uctures located on this property excel
Your street address will be
Sewage Permit Number Issued
liemarks
DO NOT WRITE BELOW THIS LINE
fro'
Building Permit
e zone is
ceipt& 7(a8
ssued
Form 523 Bldg. Code
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