1973, 04-16 Permit App: K1215 DeckIII/ III/
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 9920
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 vork onvater 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 Owner
Architect
Contractor
Legalgescri
ltJ_/r
�JiLty� ^address
Phone Engineer
Address
P/
e description from de
o of Property (Give comple
,3/ 3
Phone/%4-Y— _2M6"
Phone
Phone
d, tax receipt,_etc.) e5
DESCRIPTION OF \W/ORK: New
SizeofLot 9Y.c /3,5
C Dimensions /'/ X l
concrete, brick, etc.)
Addition
Remodel
Rooms
Baths
Moving Bld
Sewage System
Total Sq Ft.
Basement Foundation Const
(Full, part, none)
Heat. System. of Roofing
Use of B1dg. flair
Garage or Carport Attriched
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT
PLAN
Fire Zone -27
Sto ' s %
Valuatto 3 60" ,
imney Fireplace
(Number)
(Kind)
Int. Wall Finish
o. of Units Bedrooms
e De ached
Property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
m
y
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perm
Heating Permit
Sewage Perini
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. li l/)22� �,/J J) �—
�t
,/
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS HOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number- Issued
Remarks
Building Permit
The zone is
/6/13-/
,13 Receipt /Xp Issued
Form 523 Bldg. Code