1972, 11-29 Permit App: K182 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT1
GENERAL REQUIREMENTS PERMIT FEE 04/
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
rformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
performed
VING 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 en •rce covenants or dedications.
IV
AfF _.. one 97 i—Af f ;
Name of Owner
Architect
Contractor
Legal ip ion of Property (Give complete description from deed, tax receipt, etc.)
APPLICANT FILL IN BELOW THIS LINE
ddress
Phone Engineer Phone
Address Phone
f
DESCRIPTIONOF WORK: New
Size of Lot q O $. / -?8
Const 1� Dimensions X ' ' S -
(Frame, concrete, brick, etc.)
Rooms Baths / Basement Foundation Const
(Full, part, none)
Heat. System c� 1 e Type of Roofin
Addition
Remodel
Use of Bldg.
Garage or Carport Attached
Moving B g. Zone
Sewage System -9- Stories
Total Sq. Ft. ret 3 Valuation
0.... Chimney Fireplace _
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Fire Zone
Ext Finish
Private Detatched
dJ
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat ons; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tand water supply lines.
SOUTH
I hereby c• information submitted/is-correct and there are no other structures located on this property except
shown. -
Owner o Agent
A LAND USE OR STRUCT RE PERMIT MUST BE ON THE
THISSNOT A ERMIT.
1 '; cA, c, DO NOT WRITE BELOW THIS LINE
m
N
State License No.
Inti. Ins. Acct. No.
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Date
///c9-7/7 z
PREMISES BEFORE CONSTRUCTION COMMENCES.
Your street address will be - -� o���� The zone is
Sewage Permit Number Issued Building Perit Receipt i8sued
Remarks
Foran 523 Body. Code
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