1973, 06-13 Permit App: K1968 MH• •
County of Spokane, Waskington
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 byCounty 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 onwater 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 and47235.
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 thestructure 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.
220�
,APPLICANT FILL IN BELOW THIS LINE
Name of Owne(
Architect
Contractor
_ Legal Description of Property (Give c
�C�✓�Le1�LCeY—�
ddress Phone . 3�/
Phone
Engineer Phone
Address Phone
pl to des ription from deed, tax receipt, etc.) �i a C, -
DESCRIPTIO F WORK: New X Addition Remodel Moving BIdZone
Size of Lot r ✓1..___Sewage System
/
C Dimensions i1 v Total Sq Ft
( rame co trete, brick} etc.),
Rgggpppm,...2�Baths / Basement Foundation Const �� Chimney Firepl. ee
(Full, part, o e) '� (Kind) (NumbeUe
Heat. System? / Type o offing_ ,/ Ext. Finish//Int. Wall Finish
Use of Bldg. /� _t -&4 0. " epi �C,P�/�:�-.-e-c c, No. of Units Bedrooms
Garage or Carport Attached Private Detatched
Fire Zone
Sto�rf'es
Valuatiop� .BOO Gam_
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
I hereby cer
as shown.
ify informat
State Licgnae No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on submitted is correct and there are no other structures -located on this property except
-/.3- .3
Owner or
Agent
Date
Ci(l/ A LAND USE OR STRUC RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
J.4 ,J DO NOT WRITE BELOW THIS LINE
Your street address will be /4 /Er e.
�..e
Sewage Permit Number Issued Building Permit
Remarks
e zone is
kg/ Receipt
ssued
Form 523 Bldg. Code