1972, 11-13 Permit App: K32 ResidenceAPPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE ---------- 3-:� --- ..........
PEMIT 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. 45-133and 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
?
V Phone
ress
Name of Owner
Architect Phone --___Engineer Phone
Contractor r.Address hone
Legal Description of Property (Give compl, t deqription from deed, tax receipt, etc 114t-74,Lcl�dl
,71
DESCRIPTION OF WORK: New Addition Remodel Moving — Bldg. Zone Fire Zone'--�-5
Size of Lpt ff-', � /J,, a, � Sewage SystemStories
Const, 1 Dimensions Q 63(1 Sq. Ft. ... -Z —Valuation
(Frame, concrete, brick, etc.) 1-T
17
Rooms 61 Baths �� Basernenl�--,VA.ZL Foundation Const. �81� Chi e ireplace
(Full, part, none) 1 (Kind) (Nu b
Heat. SystemA,,0 Type 00fing b.7
Ext. Finish Int. Wall Finishl.4",, A
-V--- -7vy �1"
Use of Bldg No. of Units — Bedrooms
Garage or Carport Attaehed, 2 411-4-42+ -b-LL' Private Detatched—
PLOT PLAN
Draw 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 lines. #,A -,I .- " 1,
State License No.
13
Ind. ins. Acct. No.
REqUIRED
Plumbing Permit
M Heating Permit
1P
CA Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I her ?11%ertify information submitted is correct and there are no other structures located on this property except
IS 0
7-
" V ' �// Owner or Agent Date
A LAND USt'/OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PER IT®
DO NOT WRITE BELOW THIS LINE
J
Your street address will be
Th
Sewage Per,94t Number Issued e zone i
Building Permit 7f Receipt issued
Remarks A'i
-A, e, "t', xk LaLl
Forrn 523 Bldg. Code