1974, 07-01 Permit App: K5159 MH County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT7
GENERAL REQUIREMENTS PERMIT FEE hi
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 laud
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 -re tion, Address /2 7` / Phone 9 yam',�/
-�� -)
Architect Address Phone
Engineer ,��J / Address �_ Phone _,
Contractor C�'w` �'� Address __._. Phone
Legal Descr)Sion of Prop y (Give compie,descriptipu fr ,e ) tax receip etc.1
y ' /y ..7--' '� f .//` - = /-'' � t / ---- c / 9' - .3_S.-- s<s—
DESCRIPTION OF WORK: New ‘11..........-
Addition " ' Remodel `` Moving '--- Bldg. Zone ;` Fire Zone ..
Size of Lot r �- /"1-_ _Sewage System .' /--` corns. Br., etc.)
Stories F Dimension, / �'-/ 6-'c', f Total Sq. Ft. C' Valuation �C ��
Rooms / Baths // � Basement Foundation Cont. ('c Z Chimney Fireplace
i, (FII, part, none) s// (Kind) (Number
Heat. System_ 40 T Type of Roofing ..e-^,--7-4:2"- Ext. Finish ----- Int. Wall Finish
Use of Bldg./4-2'V
`'(' ,ids-� No. of Units f Bedrooms fa"'r-
Q
/ 3 PLOT PLAN _ ._c._., a.7z.� -e_.U/ - aw sketch with dimensions showing: (1) property lines; (2) street or road loc ions; (3) location of existing and
sed buildings; (4) distance to property lines sod streets; (5) dimensions of ildings; (6) location of sewage sys-
o
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
REQUIRED
j / Plumbing Permit clC
m Heating Permit
m
H N Sewage Permit \\
l'2---7 Plans Received
Plans Checked
\\-.
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information s. itted is correct and there are no other structures located on this property except
- - /
as shown. '/`�,¢ c—t- _ f ,,%' _ C.
✓J Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
62_,,,,___,_,,,,___ __ B NOT WRITE BELOW THIS LINE l
Your street address will be />... / // '-- */ ` The zone iaV 4 to/dA
Sewage Permit Number Issued Building Permit ,..15 'Receipt epS
%/ Issued
Remarks
Form 523 Bldg. Code
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