1974, 12-03 Permit App: K6404 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 TF I,S LINE 9t> 2 C
Name of Owner
Architect
Engineer
Contractor ,Z-,
6Lr!
Legal
scription of Prop (Give
Address v' • - Phone
Address Phone
Address Phone
Address ,i) Phone
2c' 1
complete description from deed, tax receipt, etc
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories Dimensions
/S Lr' )( / d'
Remodel
Moving
Rooms Baths Basement Foundation
Full, part, none)
Bldg. Zone / Fire Zone ...) —
Sewage Systemonst: 5 •
(Fr., Conc., Br., etc.)
Total Sq. Ft (--7;.r Valuation /-'O d
Const. Chimney Fireplace
(Kind) (Number
.._,c.._ Int. Wall Finish
QL. cel C. 1/1-&44,/- No. of Units _ Bedrooms -
Heat. System Type of Roofing Ex y Finish
Use of Bldg. t. t . CC
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
• NORTH
PLOT PLAN
property lines;
lines and streets;
street or road locations; (3) location of existing and
S) dimensions of buildings; (6) location of sewage sys-
State License No.
to1
is correct and there are
o
Ind.s. Acct. No.
REQUIRED
Plumbing Pe
Heating Permi
Sewage Permit
Plans Received
Plans Checked J\
Plans R rued
Plans Pic d Up
Plans Mailed
no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
• Issued
The zone is
Building Permit f o Receip
Form 523 Bldg. Code