1975, 05-02 Permit App: K7445 Remodel, Renewal of K3448• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON
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.
J PPLICANT FILL IN BELOW THIS LINE c7 92 6
Name of Owner r Ju.. ! �' d Address _ �� �� / D Phone 9.).-� —fot 2--3
Architect Address Phone
Engineer
Contracto
Address Phone
Address Phone
Legal Descri tion of Pr. •arty (Give complete description from deed, tax receipt
L f
DESCRIPTION OF/WORK: New
/
Size of Lot t'% 0 x 1 ) O Sewage System Const.
o scoot., Br.. etc.)
Stories Dimensions -) O X 6'v oral Sq Ft �� Valuation
Rooms G/ Baths Fu IB sepat none) Foundation Const C.4, Chimney (Kind) Fueplace(Number
Int Wall Finish
No of Units _ Bedrooms
Addition
Remodel
Moving Bldg. Zone
Fire Zone
Heat. Syste
Use of Bldg
Type of Roofing Ext Finish
PLOT PLAN
Draw ske ch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed bui dings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
N
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Fermi
Heating Permit
Sewage Permit
.\• Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I he eby certify nfer on sqr l is wrect and there are no other structures
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE B
Your street address will be / 1 / ;>-d e —
Sewage Permit Number Issued
Remarks
W THIS LINE
Date
CONSTRUCTION
on this property except
r i
% .l
''be zone is
Building Permit // 1/1()Recelpt /� Iss d
COMMENCES.
Form 523 Bldg. Code