1975, 02-18 Permit App: K6745 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI.
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 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.
SWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SST -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property lane, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
:,TATE 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 mus. be
')erformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
moved on a County
DG
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is
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
►'.rich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Phoneme �' 1
Phone
Phone
Phone
or Stage
Name of Owner
1"? so
Address ./._.e"
Architect Address
Engineer Address
Address
Contractor
Legal Description o rorty (Give complete description from deed, tax receipt; etcd c y
/// l,Z+ /f / / , i ce C, 32 6' 4"
DESCRIPTION OF ORK: New Addition
///
Size of Lot
Remodel
Moving
Sewage System
B1dst. Zone
Fire Zone
st.
(Fr. Conc., Br., etc.)
Stories C�Dimensio%s ;C--9,4' -,±
� r - Total Sq. Ft. V Iuation //
Rooms % Baths 7 Basement Foundation Const. o 0,------ Chimney Fireplace
(Number
part, none) �/� \/ (Kind) (Number
Heat. Systeem Type of Roofing C------"---7 Ext. Finish �` Int. Wall Finish ./ -� ��
Use of Bldg.y�� `'� -No. of Units _Bedrooms
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
IA
NORTH
SOU TH
I hereby certify information submitted
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
is correct and there are no
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
• Heating Permit
▪ Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property cept
Date
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
3o>�
The zone ita ' 1444—die
Building Permit )1/4"' I Receipta'/3 Issued
Form 523 Bldg. Code
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