1974, 08-14 Permit App: K5509 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT_______ ___________ v U
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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 Ownet {��C/ �1iCJC-c ddress-/. ///
Architect Phone Engineer
Contra�)� --} �� ddres -
Legal Description of Property (Give com ete description from deed, tax re , etc.)
one
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone �L. Fire Zone
Size oSewage System
---e :2 ,r^/Stories �
Const. Dimensions e Total Sq. Ft. Valuation
(Fra , oncrete, brick, etc.) 1
Roo .L B the _ Basemep Foundation Const. ��2�1�Chimney i�W45_1 Fireplace
pad�/Jt none) (Kind) (Number)
Heat. System a of Roofing ni 7 Ext. Finish , iii Int. Wall Finish
Use of Bldg. No. of Units
_ Bedrooms
Garage or Carport Attached Private Detatched
gg�� PLOT PLAN
sketch with dimetsions showing: (1) property lines; (2) street or road locat moons; (3) location of existing and
pr osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. /—�•,
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in Heating Pern
a Sewage Perm
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Plans Receive
Plans Checke
Plans Returns
Plans Picked
Plans Mailed
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Ind. Ins. Acct
REQUIRED
ertifyformat' submitted is correct and there are no other structures located on
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A LAND USE OR STRUCTU
THIS IS NOT A PERMIT. ,
Your street address will
Sewage Permit Number
Remarks
Form 523 Bldg. Code
Date
ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCT ON COMMENCES.
Issued
DO NOT WRITE BELOW THIS LINE
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