1974, 06-27 Permit App: K5084 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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
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 '✓ u`z'� Z ddress Phone
Mgr hitect Phone gineer Phone
Cractor V$Z� Address 7� 1--t.��t. i�7� Phone
Legg.,l Descriptio of.7Property (Givecgpplg�e description from deeA, tax rg-ceipt, etc.)-
//1
11
DESCRIPTION OF WQLKL New L' Addition Remodel M in Bldg. Zone Fire Zone J
Size of Lot `��� _T tD / ewage ystem. ^'�� St e�
Const. %n-� Dimensions K + Total Sq. Ft. Valuati
( Frame, coaerete, brick, etc.) ,.�����
Rooms— Baths � Basement v' Foundation Const. imney—N U Fireplace I Y V
ull, part, none) J - (Kind) (Numb )
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. ' C C L No. of Units �_ Bedroomsyy
Garage or Carport Attached fXQ Private Detatched
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.
NORTH
as
State License No.
Ind. Ins. Acct. No.
REQUIRED
SPOKANE COUNTY PLANNING COWAISSIDN
Plumbing X�'�UVED AS
TED
m Heating Permit
N iBafte Permit .. r
Plans Checked/;
Plans Return
Plans Picked UMM
Plans Mamm
SOUTH
I he certify
�innfformation, ubmitted is correct and there are no other structures located on this property except
-Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MU BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT�BELOW THIS LINE 2t,. D
Your street address will be
Sewage Permit Number—�
Remarks
-r —
Form 123 Bldg. Code
ane zone s
Receipt _ Issued
f