1974, 11-12 Permit App: K6260 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE L7
GENERAL REQUIREMENTS
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Legal
Phoq�e'
Address
Engineer
Address Phone
3. 2
Phone
Phone
Description of Property (,r31ve comvia description
3
Ci
from deed, tax receipt, etc
DESCRIPTION OF WORK: New 7'C Addition
Size of Lot /10 / 0
Const F'Mo`44.l. + Dimensions
(Frame, concrete, brick, etc.) C
Rooms. Baths ' Basement / Foundation Const
k (Full, part, none)
Heat. System a a Typk of Roofing
Use of Bldg.
4 0►
Remodel Moving Bldg. Zo e f -- Fire Zone
Sewage System Stories
Total Sq. Ft. Valuation
7 a a 1
41
Garage or Carport Attached
G►'�i'l. C�y,�y� i.a
Fireplace 2--'-
(Kind) (Number)
''
Ext. Finish 1 Int. Wall Finish
No. of Units Bedrooms
Private Detatched
PLOT PLAN Z-/
Draw sketch with dimensions showing: (1) property lines; (2) street or 'road locatidhs; (3)
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6
tem and water supply lines.
NORTH
O-tiq
701
a
1.00
•
/0,5"'
by certify i
do
SOUTH
itted
is correct
cation of existing and
ocat Dn- of sewage sys-
State License No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structur
s located on this property except
Owner Agent
A LAND USE OR STRUCTU PERMIT M
THIS IS NOT A PERMIT. G
d.
Your street address will b
Sewage Permit Number
Remarks
/S
ate
T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Building Permit
e zone is
.)-60 Receipti7 11
Form 523 Bldg. Code