1974, 11-14 Permit App: K6285 MH•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE / 0
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 mast 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.
ACOSSORY 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
�v`"�Address Phone
Name of Owner
Architect Address Phone
Erg; eer
Co
Address
Address (47-5-2- �!
egscj on party (Give compte e .
__�±
cription
eed, tax receipt, etc )
Phone
Y
.M r_ one
gelluX
DESCRIPTION OF WO K: Ile Addition
Size of Lot 7 0
Stories
Rooms
Heat. System
Use of Bldg.
imensions
Baths -Basement
IF
Remodel Moving
Sewage System
a!% Foundation�ons
part, none)'
Ty•' of R offing .Ex
t. Finish
Zone Fire Z7 -
oast. ��--
/ Y� r(Fr., Conc. r., etc.)
Ft IJ Valuatio
n< 6 a c
imney " 0 Firepl ce �d
(Kind) (Number
Int. Wall Finish
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.
m
I hereby c
as shown.
SOUTH
fy information sub tted is correct
er or Agent MUST
A LAND USE OR STRUCTURE PERMIT ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
(1 (.(
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
lour street address will be l 7--o eg 6
Sewage Permit Number Issued B
Remarks
iding Per
The zone is
ie,m,\ 4,
Receipt V `7,LV Issued
Form 523 Bldg. Code
10
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