1974, 08-09 Permit App: K5482 MHCounty of Spokane, Washington
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 by County Resolution to erect a building or structure of any
kind or alter any buildinglor structure already erected, or to change a land use. Construction must conform Mall 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 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 OP 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 17-44-2t-.. w Address Phone
Architect Phone Rngine`er _ Phone
Ctyht for � . - Address& it" Pr one iA.
Esc tion ] •roperty ive co Ste descr' ti from
deed, tax rete ipt, etc.) ,/ = `= LW
a ir Og'3 -Ovo
DESCRIPTION OF 0�2 ` New 73 Addition Remodel Moving • Bldg.
Size of Lot
Fire Zone -/
,'/ i Sewage System Stages /
Const � Cdlimensions / 2 TL G / Total Sq Ft Valuatioi 7(i Cte: d 0
(Frame, co Crete, brick etc.) A �( � �G�/
Rooms Baatthso_��Basement J_Y_CL FoundationCoonnstt t.-A.44�himney /Y0 Fireplace WO
, part, none)
Heat System CSL--Uu`l)TT pe off RRooting Ext Finis %i'( -CSL Int. Wall Fin(Kindish 1 -------
Garage
)
Use of Bldg. /l /�:'+.-L G24 C2� ▪ No of Units Bedroomsy
Garage or Carport Attached k y ear — Private Detutched -
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
as sh
I hereby
c
SOUTH
State License No.
Ind. Ins. Acct. No.
Plumbing
Heating Permit
▪ Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
informs ion submit ed is correct and there are no other structures located on this property except
Ait'Cs Irl r�
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Building Permit
e zone is )S ct-i
2 -Receipt
Issued 8
Remarks 1
1
i
Form 523 Bldg. Code