1973, 08-27 Permit App: K2633 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 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 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 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 actionto enforce covenants or ations.
Name of Owne
AP CANT FILL IN BELOW THIS LINE
Architect Phone
Contractor
ddress
ngineer
Address
hone
Phone
tax rec ipt, etc.)
�<'°/75;73-,,3Bio
Legal Description of Property Give complete description from
DESCRIPTION OF WOR
Size o Lot 4 r
Cons i ' 14 .. r'
(Frame, cone ey , brick, etc.) //,f
Rooms` e3 aths 1 /p% Basement Foundation Const 'Gt7T�CrtJ • • Chimney Fireplace
I Kind) (Number)
Int. Wall Finish
No of Units Bedrooms
Garage or Carport Attached Private Detatched
New
Addition
Remodel
Moving Bldg. Zgne,
Sewage System
Total Sq Ft
Fire Zone
Stories
/
--..
aluattef 4(a
(Full, part, none)
Heat. Syste�6�Type of Roofingq t Ext_Finish
Use of Bldg. :f2B�ps� C2-4 (2'//..-1. �
L�1eX
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.
ORTH
-1
SOUTH
R4
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
I her rtify information submi ed is correct and there are no other structures located on this property except
as shown 8 ;.2 7- 73
• Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Cm -rat -et e --12744/14c, , DO NOT WRITE BELOW THIS LINE
Your street address will be °D. . I e 4: , re zone is
Sewage Permit Number Issued - Build 'g Permit a6e33 Receipt
Remarks
(
ssued
Form 523 Bldg. Code