1973, 04-10 Permit App: K1205 Addiition410
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. 45-133 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 moped on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACTESSORYOUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. 4
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.
Name of Owne
Architect
Contractor
hone
PLICANT FILL IN BELOW THIS LINE
Address
Legal Deacription of Property (Gi complete
/ 6 1/, 4-2 V /,S
70
Engineer
Addressf /✓/
Phone�i? 4/"g),S:'r;'
Phone
Phone r,4�
description om d ed, tax recei t, etc.)
DESCRIPTION OF WORK: New Addition Remodel
/ c
Size of Lo
I
Const. e, �- Dimensions
(Framconcrete, brick, etc.)
Room' _ Baths Basement
(Full, part, none)
Heat. System r / Type of Roofi
Moving
Sewage System
Total Sq. Ft. c 7- 0
Bldg. Zone-�- /
q Stories
Fire Zone
0
Foundation Const
Use of Bldg.
Garage or Carport Attached.__
Chimney Fireplace —
(Kind) (Number)
Int.
Int. Wall Finish,��o_nTii < �_
xt. Finish
PLOT PLAN
No. of Units Bedrooms /
Private Detatched
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.
m
4n
NORTH
SOUTH
I hereby tify nfor tion su
as shown. /
State License No.
Ind, Ins. Acct. No.
(E9U IRED
Plumbing Permit
m Heating Permit
HSewage Permit
tted is correct and there are no other
Owner or Agent
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located, on this property
/O -
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOREDate
CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
except
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BEL.W THIS LINE
e zone isReceipt
Form 523 Bldg. Code