1974, 12-03 Permit App: K6431 Residence• .
1 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ¢ 2
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 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 Stare
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 9y,e
N9me of Owner � � - _ Address -/® P=Y &&(7 9
Phone
Architect Address Phone
Engineer �s ® Address Phone
Contractor (�i���C�[f��' ��/} Address i� ` •=-Pc Phone
Legal Des .tion of Property (Give co • ete descrip on'fronyt teed, tax eceipt, etc.)
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49194741K::.� ... lG
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DESCRIPTION OF WORK: New ./Addition Remodel Moving Bldg. Zone / Fire ZOO
76 - X / a o ' Sewage SysternA W, ;C-1 Const.
(Fr., C
Stories / Dimensions C 6' k 3�'' �
4- /h X/;J i -f 4/.I'?Z Total Sq. Ft. Valuation
Rooms Baths /' Jasement ' Foundation Const �--.-4,2"---'f37'/� Chimney Fireplace
( Il, art, n8�nE1 - rnd) (Number
Heat. System, 7e - A Type of Roofing �- Ext. Finish -�C Int. WaQFinish �A-��
Use of Bldg. �.Q�.r��t�Lrt--e c, � .� �/�P,� No. of Units _iedrooms `&--
PLOT PLAN
property lines; (2) street or road loc: ions; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Size of Lot
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
7
m
SOUTH
S e License No.
nd. Ins. Acct. No.
REQUIRED
firs
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I h eby certify inlormatiubmitte is correct and there are no other structures located on thi 'pr erty except
as shown !!oq,
j n or Agent Date
A LA D USE R S RUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
a 3
THIS IS NOTA PERMIT.
DO7N • T WRITE BELOW THIS LINE
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- Your street address will be
'Sewage Permit Number
Remarks
Uc�
The zone is
Receipt X73 sued
Form
Form 523 Bldg. Code
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