1973, 09-18 Permit App: K2782 Additionfir,
Count of Spokane, Washington
Y P
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 en able thr,ugh civil action. County Officials can not bring action to enforce covenants or dedications.
LICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Phone
Q/VS Oil/ .AIS/
Legal Description o roperty (Give com
"9 4,e
Address
PhoneZy'ZDLz�
Engineer Phone
Address4" .Le'S Phone 'yT433
ete„description romdeed, tax receist,
etc.)
DESCRIPTION OF WORK: New Addition
Size of Lot %� X 1 -c `S
Dimensions e 2 6"
C
rame, oncrete, brick, etc.)
Rooms Baths 1 Basement
(W4 part, none,
Heat. System /e ) G�Type of oofing
-e
!" Remodel Moving
Bld • one ) Fire Zone
Sewage System 4e= -1C_ -Sties
e- X 2 Total Sq. Ft Valuati (1_74:2l
a 0473
Chimney Fireplace /
(Kind) (hjumbe
Int. Wall Finish
No. of Units Bedrooms
Foundation Const
Use of B1dg.0 . k_ -
( 4)
Ext. Finish )0/,.91/
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
1
NORTH
PLOT PLAN
propelinesrty andlines; (2) streets; (5)reet or rod loctins; dimensions of buildings;(3) (6)locatin locationof ofexisting
and
sewagesys-
•
•
I hereby certify informat
as shown.
SOUTH
State Lice No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
//e
•
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS
1
Sewage Permit Number Issued
Remarks
NE
/ The zone i
Building Permit Receipt
Issued
Form 523 Bldg. Code