1974, 04-22 Permit App: K4466 Fire Damage Repair•
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 ally
kind or alter any building or structure already erected, or to change a land use. Construction mast 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.
PPLICANT FILL IN BELOW THIS LINE
✓/
Name of Owner � �, � - � v _�-- - Address � -- Phone
Architect Address Phone
Engineer Address Phone
Contractor >,..-••1‘3'n Address ..,(fin Phone
Legal Description of Pfgpeerrt Gicomplete de ription from deed, taX.geceipt etc) /`Cwc-e �!/-0�.,3-S-J',F7Z -�/ a -
DESCRIPTION OF WORK: New
Addition
Remodel
Moving Bldg. Zone / Fire Zone -
Size of Lot Sewage System
Stories —Dimensions 4 U X 6 C)
/
Rooms BathsFulIBpart ent Foundation Const
one
Heat. System Type of Roofing s
Use of Bldg. ,�,q�..�ep» -L re
Ge eto PLOY PLAN J
Draw sketch with di sions 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.
0
/� Total Sq
( 7 oy/ 1Q&Jt
Ext ,Finish
M�t
aGtonc., Br.,etc.l
Etc": Vo a Valuation -rcccr
Chimngy
J
Fireplace
(Kind) (Number
Int Wall Finish
No of Units _ Bedrooms
NORTH
SOUTH
I hereby certify information submitted
as showily
is correct and there are
D
N
y
State License No.
nd. Ins. 'Tcct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans eived
P1 hacked
Plans Return
Plans Picked Up
Plans Mailed
no other s ctures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Date
Your street address will be
Sewage •:nii Numb
Remarks
DO NOT WRITE ELO THIS LINE
Build •g Permit
/.� The zone is
l5O Receipt
c
Form 523 Bldg. Code