1973, 04-30 Permit App: K1522 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 49401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / c�
GENERAL REQUIREMENTS PERMIT FEE _�f`'
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with th
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 IN BELOW THIS LINE / �}
Name of Owner�_n ��LGG�' ddress �� Phone l..c/ F-- `�
Architect �> Phone Engineer Phone
Contractor .�4` 7 G 77 Address Phone
Legal Des 1,107 of Propert• Give
co plete scr'•tion from deed, tax rec
•C
G
, etc. L/
DESCRIPTION OF WORK: New
Size of of
Addition
Remodel
1\,4oving Bldg. Zo
Sewage System
Dimensions / ) Lo i Total Sq. Ft.
(Fr. •• , concrete, brick, etc.)
Rooms_ ""Baths / Basemeafi---Foundation Const —n i/� Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. Systeme Type of Roofi rig xt Finish L e Ccs Int Wall Finish
Use of Bldg. ' _! �� L_! ` � o. of Units / 1 edrooms
Garage o rport Private Detatched
PLOT PLAN
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.
Fire Zone 3
Stories
aluation (CC
m
NORTH
SOUTH
nformation submis correct
State U'rene Np.
Ind. Ins. Q(cct. No,
m Heating Permit
NSewage Permit
REQUIRE ?\�
L
Plumbing Permit
Plans Receive
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this roperty except
(/ 0-.23
Owner or Agent Date
A LA D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. 1
T IS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks ,/1 ..r 0 -kJ
c )
8
Bui A. /Per„
e zone isP-C 7/ '
.� 2.0Receipt �3 S Issued
Form 523 Bldg. Code
1
Z.67- /1 No, 1(/4
(-)1 7 Sok kv"
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