1975, 04-15 Permit App: K7220 MHi •
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
Architect
En eer /r _
egal escri tion Pr perry (Gi complet dcription fro
s Phone
Phone
Phone
hone
Address
Address
Address
4'
dee tax r c 'pt, etc
DESCRIPTION OF WORK: New Addition
Size of Lot
Remodel
Moving BId. Zone Fire Zone
Sewage System onst.
r., Con Br., etc.) r"
Total Sq. Ft ' ' yi Valuatior�3
imney �% Fireplace A/0
(Kind) ��(9 (Number
Wall Finish y'
J
Stories (Dimensions - n
Rooms �' Baths Basement ik U Foundation Const
Ful
I part, none) i i
i
Type f .r`t Roofing/" i_ et -3
ez_
Heat. System
Use of Bldg.
No. of Units/Bedrooms
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
SOUTH
I herel�ify infoition submitted
as shown.
is correct
m
in
REQUIRED
Plum ing Permit
Sewage Permit
Plans Received
Plans Checked
Heating Permit
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
er or Agent Date
A LAND USE OR RUCTURE PERMIT MUST ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
(k)
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will be k / c1 o
Sewage Permit Number Issued
Remarks
B lding Permi
The zone is 7A ---r' k
Receipt7,2 ( Issued
Form 523 Bldg. Code
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