1974, 06-20 Permit App: K5037 Pool• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '47
GENERAL REQUIREMENTS PERMIT FEE 6
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 mast 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 ci,il action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW HIS LINE
Name of Owner
Architect
Engineer
Contractor
ddress
Address
Address
Address
Phone
Phone
Phone
Phone
Legal Des 'roperty (Give complete description from deed, tax receipt, etc I
DESCRIPTION OF WORK: New Addition r Remodel
Size of Lot
Stories — Dimensions
Rooms Baths Basement
(Full, part, none)
Heat. Systemic! Type of Roofing
Use of Bldg.
Foundation Const.
Moving Bldg. Zone / Fire Zone"?
Sewage Systen Const.
(Fr., Conc.,
Total Sq. Ft Valuatio
Chimney Fireplace
(Kind) (Number
Ext. Finish Int. Wall Finish
Cl�C/
PLOT PLAN
,raw sketch with dimensions showing: (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 line
No. of Units_ Bedrooms
c.
NORTH f
N
State Licj'se No
Ind. In acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I le;eby certify information submitted is correct and there are no other structures located o this property except
as shown
4r44 4.6/
Owner or Agent
A LAND USE OR STRUCTURE PERM'sT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will
Sewage Permit Number
Remarks
NOT WRI E BELOW THIS LINE
Date
6 ,,Q0/
CONSTRUCTION COMMENCES.
Building
Permit
The zone is cS! r)
6'032 Receipt
Issued
Form 523 Bldg. Code