1973, 06-28 Permit App: K2105 ResidenceCounty at Spokane W ashIn04e
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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 an.
kind or alter any building or structure already erected, or to change a land use. Construction must conform with tb)
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.
10 OVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ighway, clearance must be obtained from the County Engineer and/or State Highway Department.
CCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
ESTRICTIVE 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 dedic tions.
�^- APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address 11
Architect one Engineer Phone
Contractor �n Address Phone
Le�;ouProperty
�x(Give completedescriptio Lrom Cdheeidd, tax recgt, etc.)3
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. one Fire Zone
Size of Lot d 0 Sewa e S stem
FC Dimensions
rame oncrete, brick etc: )
Ro_ omS Baths m
F 11, e
11
Heat. Systl�/
Use of Bldg.
Garage or Carport Attached
— Total Sq. Ft. Valuatiorle*2 6`10 U
t, Foundation Co st. Chimney Fireplace 5e--
t, none) (Kind) (Number)
of Roofing Ext. Finish_ Int. Wall Finish 60
No. of Units Bedrooms
PLOT PLAN
Private Detatched
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-
/rtem and water supply lines.
�— NORTH State Lice se No.
Ind. Ins. Acct. No.
SOU-TH
` I hereby certify i ormation sub>pt�
eAs shown. k/
REQUI
Plumbing Permit /
n+ Heating Permit <
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Land there are no other structures located on this property except
'64 er or igen Date
A LAND USE OR STRUCTUR PERMIT MUS ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
61-1,- 3,11Vep 0 DO NOT WRITE BELOW THIS LINE
Your street address will be AQ o
The zone is
sewage Permit Number Issued Building Permit 0.�r Receipt s suecK
kmarks
Form 523 Bldg. Code
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