1973, 04-02 Permit App: K1051 MHBUILDING CODES DEPARTMENT,, COURTHOUSE, SPOKANE, WASHINGTON 99409
ArrLICATI®N FOR LAND USE OR. STRUCTURE PERMIT �
GENERAL REQUIREMENTS
PERMIT REQUIRED. A lana use or structure isrequirty PERMIT FEE .... __
kind or alter any building or structure palreadyerectededory touchangesalland�use.erConstructionnmusor oft conformrwith tahe
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
r} least 25' is required, a 5' side yard; 15' side yard from a flanking street, and A 25' rear Property line, of at
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained yard are required.
and egress. pertaining to set -back and ingress
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
Architect
Contractor
Legal Description of Prnnprro
Phone Engineer
Address
Phone
Phone
e
DESCRIPTION OF WORK: New-_� ,addition rte.
✓ Remodel Moving Bld . Zone J
Size of Lot /j � ^ �� Fire Zone
Const. —_— Dimensions o; X �� Sewage System /S -- Stories
(Frame, con ete, brick, etc.) Total Sq. Ft. � Valuation
Rooms Baths
Basement � Foundation Const.
(Full, part, none) Chimney _�------ Fireplace
Heat. System ' (Number)
y Type of Roofing Ext. Fin* �%L i i, (Kind)
Use of Bldg. /-� Int. Wall Finish __(_7
C - No. of Units Bedrooms
C ra e or Carport Attached_ ��L�L1
Private Detatched —tel t
PLOT PLAN
�� Draw sketch with dimensions showing: (1) property lines; (2) street or road loc t
ins;Proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;((6)llocationoofesewagegSand
ys-
tem and water supply lines. �+
NORTH 7Gj State License No.
f Ino. Ins. Acct. No.
--
la
I l REQUIRED
Plumbing Permit rty,
N 1 t �* Heating Permit
lz� S a -7 4A Sewage Permit
-4
.\ SOUTH
Plans Receiv,
Plans Checke
f Plans Return
Plans Picked
Plans Mailed
s
I herebyc f inf rmati sub
as shown. ted is correct and there are no other structures located on this property except
r.- '-'-Owner or Agent
A LAND USE\`OR STRUCTURE I
THIS IS NOT A PERMIT.
Your street address will beza�ja!
Sewage Permit Number
Issued
Form 523 Bldg. Code
A-1 _
T MUST BE ON THE PREMISES BEFOREDate -
CONSTRUCTION COMMENCES.
.y
ELOW IS LINE
Building Permit
-
The zone is /V91' A6�
ReceiptS'Is8T1