1974, 07-15 Permit App: K5332 Resdience0 V
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 THIS LINE
Name of Owner /1j'}' Sl =�!, Address tip; l 2 0�C%/tel Phone
Architect Address �i?�7--��' �` `� L�-1r� Phone
Engineer Address Phone
Contractor �/'% S'C'E T� D/� Address SGS "— Phone
Legal Description of Propetty (Give (iopplete description from dgkd, tax receipt,_etc.)
U /X
S' er `�—
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot �3 r� �[ 17 �Q�_�/'4 Sewage SystemConst.
/ Fr., Conc., Br., etc.)
Stories dimensions `3 fC X.� g Total Sq. Ft. �� Valuation
Rooms Baths -2--. Basement Foundation Const.. 6i 3j 'h- Chimney Fireplace
1 ul1. art, noneT / (Kind) Number
IP
Heat. System ype of Roofing Ext. Finish ''1( Int. Wall Fini+�sh S� /
Use of Bldg. t � A) �' t `o -per- � No. of UnitsZ_ Bedrooms
t-z/r`" _-- PLOT PLAN
raw sketch with di sions showing: (1) property lines; (2) street or road locati ns; (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.
State License No.
N
Ind. Ins. Acct. No.
REQUIRED
0
Plumbing Permit
M Heating Permit
HSewage Permit
Plans Receive
Plans Checke
Plans Return
Plans Picked
Plans Mailed
I hE
as shown.
except
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be X"�L
Sewage Permit Number Issued Building" / a
Remarks
Form 523 Bldg. Code
COMMENCES.
s V
The zone is ,
Receipt 'o o Issued