1974, 09-09 Permit App: K5738 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
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.
AP'LICANT FILL IN BELOW THIS LINE
Name of Owner ' _ _ /i/. Jr A. ra' . ' ddress
Architect Address Phone
Engineer f Address Phone
Contractor 20 -tZ 4' P. Address Phone
Legal 9e¢cription of Prope (Give complete description from deed, tax receipt etc 1
tr�� _ - _tel.' D ifS%SV -a
Phone 9- e—Arses
DESCRIPTION OF WORK: N ✓ Addition Remodel Moving Bldg. Zone .- / Fire Zonec3 /J
Size of Lot x l !J ,r �� Sewage Syste
-,"--771, Yl2_(
Z/gff,Conc.,,gr., etc.)
Stories, -Dimens%ions /� -Cr' Tot�a //$p�i,Ft # / -'' v„aluation,;3 -r ,S"�/�-(J
Rooms C// Baths / Baseme � Foundation Const ()' f� LU CCSL`Chimney 't-' ' Fireplace /t'7/
/ (Full part, no a IKindl (Number/�
Heat. System Type of Roofing_77o,D Ext Finish _ Int Wall Finish Nu beer
Use of Bldg. }- Z��P�� /71J�/2� /�-�21_i� No of Units_ e ms -a---
-
PLOT PLAN
aw sketch with d'tiensions showing: (1) property lines; (2) street or road locatio, (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of build ngs; (6) location of sewage sys-
tem and water supply lines.
H
NORTH
GOop
L
rfn
SOUTH
State I,rcense No.
Ind. Icot. No.
REQUIRED
Plumbing Permit 0A77
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
certify i formation subzj• ted is correct and there are no other structures located on this property except
<<1.! l -/— 9/?�� sl
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW IS LINE
Your street address will be
Sewage Permit Number
Remarks
.e tone is
Building Permit r -i Receipt n ued "�
form 523 Bldg. Code