1973, 02-26 Permit App: K604 Remodel(.1)
County -of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99211 at -1
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (AAP
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 tront 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
Name of Owner
Architect
Contractor
Le •g Description of Prope
Phone
ddress
ngineer
Address
complete description from deed
DESCRIP1w N OF WORK: New
Size of Lot I/ Y Go -u
Const Dimensions
Addition
Remodel
Phone
Phone
Phone
tax receipt, etc. �y r_ , „ j
- / ///-/.3
(Frame, concrete, brick, etc.)
Rooms S Baths __ Basement
(Full, part, tYbne)
Heat System Type of Roofg
Use of Bldg. ..c—'r r
Garage or Carport Attached
2 ' )C —
Moving BldgQZone Fire Zone
Sewage System„{Stories 2-
Total Sq. Ft. oh Valuation
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Chimney Fireplace 0
(Kind) (Number)
Int. Wall Finish
No of Units Bedrooms
Priv e Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I he
as shown
SOUTH
fy informs x ion submitted
is correct and there
en
a
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
located
)
on, this property except
1
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building P
mit
e zone is
Receipt 4_ G7 ssued
Form 523 Bldg. Code
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