1974, 03-18 Permit App: K3892 ResidenceCounty ®f Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 49401 C,
APPLICATION FOR LAN® USE OR STRUCTURE PERMIY4
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner/C L j✓42 -:C — 1,1 �'��/1 / &e ddress
Architect Phone Engineer
Contractor ��Address :G
Legal De ription of Pr ty (Give complete descri tion from
deed, tax receipt, etc.)
Phone
Phone
;- a 10c)
DESCRIPTION OF
/
WORK: New Addition Remodel Moving Bl . Zone
Fire Zone
Size of dot i -� ' ! ` ! Sewage Syste l lC
T4s'1 Stories
_ _
Const. �ll t �- Dimensions Z X ,YI otal Sq. Ft.- __Valuation�'-�
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const. Chimney
Fireplace
(Full, part, none) dSAk(Kind) (Number),r
Heat. Syste r� Type of Roofing >Ext. Finis �' / Int. Wall Finish I
Use of Bldg. GZt- � No. of Units
Bedroo s
--Garage or Carport Attached Private Detatched
PLOT PLANc c �� :� 0 Z
Draw sketch with dimensions showing: (1) property lines; (2) sheet or road locations; (3)
location of existing and
pr posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of wage sys-
t and water supply lines.
_' `on
State Li
as
SOUTH
l i
Ind. Ins. cc No,
\` / REQUIRED
Plumbing Permit ~'
m Heating Permit
a�N Sewage Permit
Plans Received
Plans Check&d„
Plans Returned
Plans Picked U
Plans Mailed
I hfrgb$ certify ,t�matiop,jubmitted is correct and there are no other structures located on_this property except
(/ Owder or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON E PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
n (/
7 3 i
The zone is �L
T 3 Receipts
Issued
Building Permit
Remarks
Form 523 Bldg. Code