1975, 03-02 Permit App: K6842 Remodel111
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 00
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 mast 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 enforge c9venants pr dedications.
o.3i
Phone '� V/d'/
Phone
Name of Ow
APPLICANT FILL IN BELOW THIS LIN
Addres
Architect Address
Engineer Address/ - Phone
Contractor .. /r_5‘,-7‘.;?�r L' -,:(7 Address, /...5-7///7a
( � ' 7�Phone "•2•S/ -.''.7C//./
Legal Descr tion of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition
Size of Lot /O nC i 5
Remodel
Moving
Sewage System
Stories / Dimensions _ _ ii _-.�ti_ Total
Rooms Baths Basement Foundation Const
(Full, part, part, none)
Heat. System Type of Roofing ----Ext. --Ext. Ijinish
Use of Bldg.
Bldg. Zone / Fire Zone_?
Const
(Fr.,
Sq. Ft aluation
Chimney Fireplace
(Kind) (Number
n Wall Finish
No. of UnitsBedrooms
ihg(3) location of existing and
s; (6) location of sewage sys-
a`, �r -
etc.)
ow
7)
PLOT PLAN
raw sketch with dimensions showing: (1) property lines; (2) street or road locat
oposed buildings; (4) distance to property lines and streets; (5) dimensions of build
tem and water supply lines.
m
as
A
T
NORTH
y information submitted
ate License No.
I/
-fnd. Ins. Acct. No.
REQUIRED
Plumbing Permit
n� Heating Permit
)01
Sewage Permit
- c
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
e are no other structures located on this property except
ner or Agent Date
A D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMEN S .
IS IS NOT A PERMIT. .
c
J5
r
Your street address will b
Sewage Permit Number
Remarks
DO NOT WRITE
moi'/
jued Buil
ELOW THIS
LINE
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The zone is
Permit ,((C9 , . eipt Q�
Form 523 Bldg. Code