1975, 01-28 Permit App: K6670 Renewal of K2782County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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.
f APPLICANT FILL IN BELOW THIS UNE
Address $/ // / Phone
Address ) 9 9 ® 3 . ' Phone
Address ���� Phone
Address (((___ ///J Phone
3T 3-/ 77
iJ
Name of Owner
Architect
Engineer
Contractor
Legal P s
ption of Prope y (Give complete description�from deed, tax receipt, etc 1
DESCRIPTION OF WORK: New
Size of Lot
Stories Dimensions
Rooms Baths /
Heat. Syste
eo
e
Remodel
Moving Bldg. Zone
Sewage System
Basement
(Full
, part, no
D-2
Total Sq Ft
Foundation Const
Type of Roofing Ext. Finish
3-2 PLOT PLAN
Draw sk ch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
IFire Zo
onst.
Fr., C'c., B
Valuation
z
Chimney Fireplac
(Kind)
Int. Wall Finish
No. of Units _Bedrooms
NORTH
RESIDENTIAL — COMMERCIAL
I he, ertif 4 informs
as �rhowa,
SOUTH
n submitted
is correct and there are no
1
other
State License No.
Ind. Ins. Acct. No.
Plumbing Pe
Heating Permit
Sewage Permit
REQUI
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located .on this proerty except
Owner or Agent
A LAND USE OR STRUCTURE PERMI
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Date
T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT
BELOW LINE
The zone is
Receip
L2