1975, 04-03 Permit App: K7136 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
do
GENERAL REQUIREMENTS PERMIT FEE
ki�ndlTorr alteREQUIerr anylbuildinganuseoorrsstructructture e a lreadysererected. oruired y touchangety sallandnto use.erect a Constructionng or most conformre of 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.
Rents
which areVenforrce enforceable throughrs civiluld check action. Countysions of Officialsocanants or not bringdactionntoand enforcemcovenantsing or dedithe land
cations.
APPLICANT FILL IN BELOW THIS LINE
wwilyermori-
Name of Owner , . f
Architect is
Contractor
ddress
Phone Engineer
Address
Phone
Phone
Legal Descr tpog,of Pr petty (Give c ole descriptio deed,
PCS
DESCRIPTION OF W IRK: New Addition
Size of L 150
Const. Dime isions
(Fra , concre e,
Remodel
Moving
Sewage Syste
Total Sq. Ft.
Rooms the 4, ' Basement I�
(Full, part, one)
Heat. System e of Roofing
Foundation Const.
Use of Bldg.
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
W)
{01
111; H
Dpi
4t$641
Ext. Finish
7 / //
Bldg. Zone
l
Fire Zone
Stories
Valuation
Chin-meG replace
(Kind) (Number)))
Int. Wall Fin' 1/J
No. of Units
Private Detatched
Bed :: m
PLOT PLAN
propelinesrty andlines; (2) streets. (5)reet or dimensionnss of buildings;d loctions; (3) (6)locatin locationof ofexisting
and
sewage sys-
REQUIRED
Plumbing Perini
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
reby certify i. coati• submitted is correct and there are no other structures located on this property except
7 ,21
Owner or Agent
Date
A LAND USE OR STRUCTURE PER T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINK
e 6 f*.40- _
Issued Buil
`Z
ing Permit
The zone is, '
Receipt 75.7su
Form 523 Bldg. Code