1974, 11-25 Permit App: K6376 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201a teil,/
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 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 civil action. County Officials can not bring action tenforce coysnj.nts or dedications.
APPLICANT FILL IN BEL, THIS LINE ° 79o/C,
ee -lc
Name of Owner/� i ddress Phone loft -D I/Sy
Architect / Address Phone
Engineer Address Phone
Contractor Address Phone -
Legal Description of Property (Give complete description from dee
'L
x receipt, etc.) f L. v -
- .
r o 21 .il _ -w at:5A, / -e-t P %(j 30' d . 4
Of -
DESCRIPTION OF WORK: New Addition Remodel Moving BI. _. Zone _—i_ Fire Z^^�
Size of Lot f 4 [` �� Sewage System � - - - 'Const.
i / (Fr., Cp¢c., Br., etc.)
-rota/ c. Ft / «Ort Valuation 4 OQ n
Stories Dimensions
Rooms L` Baths ! (Fu
Heat. System
Use of Bldg.
O
Basement
1, part, none)
Type of Roofing
Foundation Const
At
e"
Ext. Finish
imney r... Fireplace
(Kind) (Number
IfirliraTI Finish
No. of Units _ Bedrooms 4, -
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 sfree s; (5) dimensions of bu)ri'plings; (6) location of sewage sys-
tem and water supply lines. J 0
m
1
19)
ro
2.
NORTH
C6,10/‘1
1 hereby c ; ify infotmatn submitted is correct and there are no oler structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
SOUTH
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)11
to
Sewage Permit
Plans Receive
Plans Checked
6 Plans Return
Plans Picked Up
4 Plans Mailed
IRED
umbin,gl?
vTmit.
Heating Permit
DO NOT RITE BELOW THIS LINE
Your street address will be The zone is �'�_
"" CC.,Sewage Permit Num er r�Issued Building Permit `�, (p Receipt . ..1/ Issued 1r
Remarks � � / - / - S- d - ."7“--e C"
Form 523 Bldg. Code