1973, 06-04 Permit App: K1851 Residence0
County of STokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 st ucture 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 ddress g�U tone
Phonef�ArehiteLct Phone Engineer one
Contractor Address
DESCRIPTION OF WORK: New Addition Remodel Moving 14ldg. Zone Fire Zone
Size of Lo Sewage System Stories
Co Dimensions c -2q A' 7D Total Sq. Ft. /96� l� Valuatiovo `�7.
(F,peoee, concrete, brick, etc.)
oms—,�a'_ Baths -c22— BaseFoundation Const. Chimney Fireplace
( ull, p t� _ (Kind) (Number)
Heat. SysteType of offing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units _ / Bedr ms _
Garage or Carport Attac d Private Detatched _
�i�� PLOT PLAN
� Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
/� NORTH Q State License No.
as
ut-
Ino. Ins. Acct. No.
REQUIRED
Plumbing Perm
Heating Permit
Sewage Permit.
Plans Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed _
SOUTH
reby c rtify ' formatio submitted is cor
t and there are no other structures located
on this
property except
\-/ Owner or Agent Date
, LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
'Your street address will be
Sewage Permit Number
Remarks i
Form 523 Bldg. Code
DO NOT WRITE BELOW THI$ LINE
--6&t The zone is _ �-
Issued Building Permit Z I Receipt`s Issued
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