1975, 04-11 Permit App: K7215 Pool0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT
PERMIT REWIRED. A land see or structure Permit is required by County Resolution to erect a building or structure of spy
Construct or Biter any building or structure already erected, or to change a land use. Cstruct ion suet conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County mnd State Health Departments. Where workonwater connections disturbs
the surface, shoulders or ditches of County Reads, Permission most be obtained Irons the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolution. New. 45-133 and4T.235.
SETBACK FROM PROPERTY LINES. In most zones and ostler most circumstances, a setback 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. Merethestructure abut. a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way my not be performed until staked by County Road Department Bud work must be
Performed in accordance with stakes. Pointe of ingres. and egress most be approved by the County Eogineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance most be obtained from the County Engi.eer and/or State Highway Demrtme.t.
ACCESSORY BUILDINGS. Accessory building. (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 Official$ can not bring notice to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address Phone
Architect Address Plane
Engineer Address Phone
Contractor rev' Address_
Legal Description of PropertL 1 i epmalata desaip[ion from deed. tae receipt, at..)
/ / 1/ D,. � _ – 'Y» –e -.tom :' 16 —M /,_S" C�z
DESCRIPTION OF
ORE: New Addition Remodel
Moving Bldg. Zone I Firs
Sire of Lot
h Y (�)
Sewage System ;-�"'Q- Consc�
cmc.,_
I
�� c^
Election Permit
p �I FF ..
Steriea _
ft/
Perm
Total Sp. Fc�� Valuation .r
Rooms _ Bathe
Basement
Foundation Const. Mle
Chimney — Fireplace
IWintll
Fu I, pert, none—
Plans Received_
PlansCheck
Heat. System
Type of Roofing
Eat. Fi�n/i/sil,.
Int. Well Finish
Use .f WItla1D
.2. A.g._-___.___mal%
Q'1ifd�T't�
A.. of Unit._ Bedrooms
V / PLOT PLAN--)
.,,t�
Draw sketch with dime..ioon showing: (1) property lines; (2) atree2(0r rand locatlonn; (3) location of existing and
proposed buildings; (4) distance to property lines and street.; (5) dimensions of buildings; (S) location of sewage BY. -
ben and water supply lines.
NORTH(`:f Stunts losses No.
x S ods na. Acca. No.
I o =-i /+p Lt .f' a Pc �� t oREQUIRED
0
Plane Mailed
SOUTH
I hereby certl nformti�m {se Bitted is cor ec(t//P�Et/Q there are no other structures located on this property except
u shorn. Y V Y— U
J Owner r A But Date
A LAND USE OR STRU TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will he ��. /� 2_v �T me zone is � �
Swmagw Permit Number Ieaned Building Permit LAILS— Receipt Issued
Remarks
Form 523 Bldg. Code
Plumbing Permit
I
we
Election Permit
NSewage
Perm
��.w
S t
Plans Received_
PlansCheck
aQ p//L
ed
Plana Ret----'
Plana Picked Up
Plane Mailed
SOUTH
I hereby certl nformti�m {se Bitted is cor ec(t//P�Et/Q there are no other structures located on this property except
u shorn. Y V Y— U
J Owner r A But Date
A LAND USE OR STRU TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will he ��. /� 2_v �T me zone is � �
Swmagw Permit Number Ieaned Building Permit LAILS— Receipt Issued
Remarks
Form 523 Bldg. Code