1975, 05-01 Permit App: K7097 Remodel• •
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 any
kind or alter any building or structure already erected, or to change a land use. Construction most cooform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County end State Health Departments. Where work punster 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.
PLI ANT PILL IN BELOW THIS LINE
Name of Owner
Architect c.���r .
Engineer att a /
Contractor
Legal Des
-Address
.�� G Address ` Phone
i_ Ad ens phone
O jJ� Lji'�l Address — Phone
_. Phone 7c? 47°7 7 d
P operty (Give compia�descrii deg.( om d receipt etc I
DESCRIPTION OF WORK: New Addition ✓ Remodel
Size of Lot
Stories Dimensions
Rooms _L Baths— Basement Foundation Const
-T11. part. noneT
Heat. System (la- Type f Ro ing
/6 )i )02/
Moving Bldg. Zone _/ Fire Z 3
Sewage System Const
/ r a.' r., etc.
Total Sq Ft /d O Valuation • vrr6.
Use of Bldg.
Adi
En Finish
uezetil O S�LAN
Nrif
Chimney (Kind) Fmep e
INum
II Finish O -•-•ir
Int We
No of Units _ Bedrooms
Draw sketct 4ith dimension hewing: (1) property lines; (2) street Or road locations; (3) location of existing and
4
/pr °Dosed buildings; (4) distance to.property lines and strsets;,(5) dimensions Of buildings; (6) location of sewage sys
Fem and water supply lines
R;
E -O
NRTH
SL
nd. Ins. cct. No.
REQUIRED
Ing PerriM6 .
mit
T
N
I bereb c r ify formatio
as s.
Owner or Agent
SOUTH
Plans
Plans Mailed
orrect and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be q57/‘ ¢—r -A-9 -�--The zone ofe �'r
Sewage Permit Number Issued Building Permit Receipt 2 xss
Remarks
form 523 Bldg. Code