1973, 01-19 Permit Ap: K386 Basement Remodel•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
0
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 -Maud 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 eC�4Vt' q9.0-/4
ddress /0.- £s 7-4 one WA -4 -'/a. �.Q
Architect Engineer Phone
Contractor Address• Phone
Lega Desc i•ti,,, of Property (Gid co lete,¢escription from deed, ax receipt, etc)
- •
Name of Owner
Phone
It II
DESCRIPTION OF ORK: New Addition
Size of
C
Remodel
XMoving
n
L • Sewage System
Dimensions � X / c -- -Z Total Sq Ft
ncrete, brick, etc.) /i- t /
Baths O Basements oundation Const C Chimney Fireplace /
_ ( ull,.part, none) _ (Kind) I (Num r
GZ
Heat. Syste B. - • ' d2 yp• of Roofing (1,44-1441Z-.- Ext Finish / /// Int Wall Finish
j
1
g. Zone Fire Zone
Stories
iL�/ Valuation
Use of Bldg.
Game or Carport Attached
j2,/,a
Draw ske�t'}ft�ii'h di nsn o F g: (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.
( Or 6.s—
PLOT PLAN
No of Units Bedrooms
Private Detatehed
NORTH
SOUTH
State Lie se No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures1 ated on this property except
as shown.
C?v GL/ a -net' -t/ ///9/'3
ower or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ,/:2 ifs
Sewage Permit Number Issued
Remarks
mfrilet—
Building Permit
The zone ir��
Receipt &/ Issued
Form 523 Bldg. Code
60