1974, 04-29 Permit App: K4503 RemodelCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992
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.
NATER. 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 IN BE OW THIS Ll s 99; d
Name of Owner2 — u %. " Address
Architect Address
Engineer Address
2
hon, 1—f7/ 9
Phone
Phone
------Address 1 Phone
cr om deed tax receipt, etc.)
iL!` 4 [C it G. h.�•�
Contractor
Legal escription of Property (Give com
?/--s-6 f 6—
to descripti
0 /5134,/,...-0/o
/
DESCRIPTION OF WORK: New�_.,_ Addition Remodel L, Moving Bldg. Zone
Size of Lot ��Or I1 47... :5'�� )( /.'g
Stories Dimensions,�/!
" '� %l-%��/ � (Total
Sq. Ft �*�t)�
Rooms Baths / Basement Foundation Const. Chimney
Full, part, no ," '9 (Kind)
Type Roofing Ext. Finish
Sewage System
/ Fire Z.ne 0.3
Heat. System
1 Use of Bldg.
raw sketch with dimension
oposed buildings; (4) distance
tem and water supply lines.
m
N
LAN
onst.
c, Br., etc.l /
Valua aonr
d' ei
Fireplace
(Number
Int. Wall Finish
No. of Units _Bedrooms
1
g: (1) property lines; (2) street or road locations; (3) location of existing and
to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH
I hereby certyty
as shown
m
u•
StatLicense„No.
Ind. Ins/ Acct. No.
�IRED
Plumbing g
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other struc ures located on this property except
er or Agent
A LAND USE OR STRUCTURE PER
THIS 1S NOT A PERMIT.
-"4 7 —2
Date
IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
The zone is
v
Receipt -- Issued
Form 523 Bldg.