1974, 08-01 Permit App: K5404 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
0v
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 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 OwnerSL' r, -vjr� Addraas Phone
Architect
Contractor
Log Nov
Phone ff1Bineer
Address
dcocripton from deed,
Phone
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DEsel(inmiQN grFiY4RKI New Addition ituniudcl
Slat tit Lot l Fes' i t
(;onst. 14— Dimensions / X & Teta! Sq, Ft,
f Frame, cgmatte, brick, letc. )
liaOro8Flaths i/13anu lleftt Alit Foundation Const G2 'ins-ww.i!- Pr'-A'®Cnimna},
rill, pari, none) �� �—fJ
Boat. System mypG,ef Roafin8 pit, Finial' int. W
Uss et Bldg, 6 .......e_ac ,x iv,' '-E-"-treje---t-ats.- No oI U
chi o er C,irpm't 1duahud MO
hiovmg
Sewage $gyiten
Bid
zone
ketch with dimensionowing! (1)
osed buildings; (4) distance to property
tem and water supply lines.
ti
NORTH
PLOT PLAN
Iarrontn Untntehnd
Fkra zone
stow
\Weigle/rani. A +0 .
p
6 Fireplaea Aid
(Klrin (IVumba
alllll Flnlsll irde.li..�/
nits r Bedrooms �Zr
iv rt
preporty lines; (2) street Or rood looaticaai 3) location of cxiating and
lines and streets; (5) dimensions of bUildib$e; (C) 100atiOn of sewage nye-
I h
as shown.
SOUTH
' State License No,
Ind. Inn net. Nes.
REQUIRED py
Plumbing Permit /// ( X
Heating Permit
Sewage Permit
Plans Received '
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
y informati soba' ted is correct and there are no other structures
ner or fleet
A LAND %JSE OR STRUCTURE PERMIT MUST ON THE
THIS S NOT A PERMIT.
CTiwJ �/LtAJ p
Your street address will be
Sewage Permit Number Issued
Remarks
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
located oft thin property except
y�.
DO NOT TE BELOW THIS LINE
itt .e zone _is
:11►1•{./ Receipt to D Issued
Building Permit
Form 523 Bldg. Code