1975, 02-26 Permit App: K6785 DemolitionCounty 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 soy
kind or alter any building or structure already erected, or to change a land use. Construction moat conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply mast 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 an 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 Address Phone
Engineer Address Phone
Contractor p' Address Phone
Legal Description of ppprroopy./IGive complete description from deed. tax receipt, etc.}
Address C°?//P / Uv' /A... Phone 9a�i— 7
DESCRIPTION OF WORK, iew 2 Addition
Remodel
(4." 00/ • 0,,,c�o /LAIC:9
G!/Yf / Fire Zone1/4".?
g Bldg Zone
Size of Lot Sewage System - onst.
'�.(/��'yyy IFL. B etc.l ��
// ` r -2-7 ' Total Sq Ft L37927 v anon %�
Foundation Const. C7--6-RI-9.%1 .0 r Chimney
(Kind) FireplacelNumber
finish Int Wall Finish
_.11 droom
Stories _Dimensions
Rooms _ Baths_T,I pasrt.enonel
Tyra of Roofing
t_ t,
Heat. System
Use of Bldg.
PLOT PLAN
sketch with dimensions showing: (1) property lines; (2) street or road locations;
buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
nd water supply lines.
NORTH
as s
A
T
3) location of existing and
(6) location of sewage sys-
t Lien ,,ense N
o.
//fl2- 2
nd. Ina. Acct. No.
REQUJRED
Plumbing Perm!
Heating Permit
Sewage Permit
Plans Rec- -d
Plans Check
Plans Returned
Plans Picked Up
Plans Mailed
I� SOUTH
fy \informst , .ubmi ted i_ correct and there are no other structures locate
Owner or AgDate
ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS 15 NOT A PERMIT.
00 NOT WRITE BELOW THIS LINE
operty except
Your street address will be
Sewage Permit Number Issued
Remarks
Building Fermi
e zone 1
Receipt Issued
form 523 Bldg. Code