1973, 03-21 Permit App: K900 Residence• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE'
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction must
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
land 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.
structure of any
conform with the o
APPLICANT FILL IN BELOW THIS LINE
a
Name of Owner alli
Architect
Contractor Phone Engineer - PhonePhoneone
-
ddress J `S -is��i
pmlDescri ion of Property (Give complete iption from deed, /receipt etc. /,g —.4/-;ZAII0V,/
Address
DESCRIPTION OF WORK: New k Addition c�
Size of Lot / 7 ,K 1 b C'
Dimensions
concrete, brick, etc.)
s Baths
Heat. System
Use of Bldg.
Garage or Carport Attached Private Detatchvd
Remodel
Moving B19ne
S
Sewage System
ks�s ?),eco
asement Foundation Const.
Dart, none)
T 'e of Roofing Ext Finish
Fire Zone _7
s �
place
(Numbe
St
Total Sq. Ft Valuati
Chimney Fir
(Kind)
Int Wall Finish
No. of Units
Be
rooms
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
v1
NORTH
.6eeJ2
I herby cer
as shown.
SOUTH
m
a
N
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
tion su. it isreorrect and there are no other structures located on /this property except
73
Owner or7ige4
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LINE
Sewage Permit--//N--umber Issued
Remarks Ckf�tYid-Y.Cl (3til- ,fid
Building Permit
e zone
Receipt
Form 523 Bldg. Code
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