1974, 11-08 Permit App: K6239 MH•
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 r�_.-�`.__._..
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 Address Phone
Architect Address Phone
Engineer
Address _- ...'ti" L Phone
(;q 1 or Address ne
Cfe+escri on PrZrtyico plete ri ion fro deed, tax receipt, c.�, ! G i=
DESCRIPTION OF N
Size of Lot
Stories Dimer
Rooms Baths
Heat. System
Use of Bldg..
Addition
Wyk 6
- - ,Y C, e5) y / Y
Remodel
asement Foundation Const. l
part, none
,,Type of Roofing Ext.
Moving B
—Sewage System .
Fire Zone
e.�
ja�t ..I F... a _., r•
y►-����ZJIti+�` al q. Ft. l� Valuations=
Chimney (Kind) Fireplace
ish Int. Wall Finish
No. of Units L Bedrooms
etc.)
0 0 G. O 0
, klPLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
pr,r.•posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
I hereby certi
as shown. a;
SOUTH
submitted
State License No.
Ind. Ins. Acct, No,
REQUIRED
Plumbing Permit
nr Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
Owner KIAgent Date
A LAND USE OR STROtTURE PERMIT MUST BE ON T4 PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be f L L- �� ��4_6It
4-L The zone is 16
% 4
Sewage Permit Number Issued luilding Permi d3 Receipt 96 kt_Issued _1Z1,YZ2Z
Remarks
Form 523 Bldg. Code
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