1974, 10-24 Permit App: K6154 MH04,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �; 0
GENERAL REQUIREMENTS PERMIT FEE �C1r
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 bet
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. t
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 "Le'
Architect
Engineer
yy�, Contrac�
i,i'"
i
Address
Address
Co
Phone
Phone
Arsardwir
Address
Address
m deed, tax receipt, etc
Ytu.r
°"'"
DESCRIPTION OF RK: pew L'Addition
Size of Lot //-0
Stories Dimensions
Rooms Baths Basement �r')
(F II, part, none)
Heat. System - = Type of Roofing
g Use of Bldg.
Remodel
Moving Bldg. Zone ! Fire Zone 1
Sewage System ,YAeonst."
/L�,/ . (Fr., Cor:,-"1-Br!--et.)c
of -I Sq. Ft/ r / �� Valuati t7" « 0 t)
)-c /' Chimney Fireplace
_. .7 Kind) (N mbp
Int. Wall Finish re2-Tt•t--'
No. of Units `Bedrooms V'
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
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
IJI
RI
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby c fy information s bmitted is correct and there are no other structures located on this property except
as shown.
(0
ner or Agent Date
A LAND USE OR TRUCTURE PERMIT MU BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number
Remarks
27 d Y./ The zone s
Issued Bui]GRng •Permit • AvST Receipt O Issued
UUUO
Form 523 Bldg. Code
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