1973, 01-25 Permit App: K407 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT jo
PERMIT FEE
GENERAL REQUIREMENTS
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 most 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
east 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-baok 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
��- ddress �' Phone/d"
Engineer Phone
Address Phone
Name of Owner
Architect
Contractor
Legal Descriptj',n of PrO rty (mp�ete description f�rpjax rete' t e)
Phone
DESCRIPTION 0
Size ofLo d
Const. -
(Frame, c
Rooms Bath
WORK: New
Addition Remodel Moving B1dZone / Fire Zone
Se age System [e4 " Stories
otal Sq. Ft /�e Valuation
Dimensions
crete, brick etc.)
Baths Basement/ Foundation Const Oen ['/e4
(Full, part, none)
Bl / /�
Heat. System •>--JV/ �ype of Roofingc�/ l'�./{)Ext Finish 'C!-Z�`
dg
Chimney -Fireplace -Z'!-
(Kind) T (Number),
Int. Wall Finish
Carport tta
No. of Units / Bed'{ooms
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.
NORTH
aa -2,1,40
I hereby c
as shown.
SOUTH
y information submit ed is • /rectnd there are no other structures located on this property except
State Lidense No.
Ind. Ins. Acct. No.
REQUIRED ��
Plumbing Perm
1 1�
wn Heating Permit--." ? __
NSewage Permit L e," 7 "`i.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner 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�T c::$2/
Sewage Permit 1Vumber Issu
Remarks /4
DO NOT WRITE BELOW THIS LINE
a- LT
Building Permit
e zone i
Receipt
Form 523 Bldg. Code
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