1974, 11-07 Permit App: K6238 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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1 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
a
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.
PPLICANT FILL IN BELOW THIS LINE
Name of Owner Address Phone
Architect Address Phone
Engineer Address Phone
Contractor / Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New— Addition Remodel Moving—
Size of Lot _%/ 2 Z"Ll Sewage System
Stories JL Dimensions epl0 34
Rooms _fL Baths '2— Basement
_ (Fu I I, part, no
Total Sq. Ft. / 6
-.Chimney
Ext. Finish Int
IJ v
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water sunnly lines_
NORTH
., Cog -d., Br., etc.)
luation6+f�6�C7
Fireplace
(Number
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
REQUIRED
ging Permit 44
ng Permit
,e Permit
Received _
Checked _
Returned,
Picked Up
Mailed
SOU TH
I h reby ert'fy info m=t'submitted,is�.:7
d therekr� other structures located on this property except
as show i + l
t
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,9) DO NOT WRITE BELOW THIS LINE
Your street address will be % -�� 5 ,(G
_— The zone is
Sewage Permit Number Issued Building Permit "'1 Receipt g7/ Issued
Remarks
Form 523 Bldg. Code
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Id
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ko
g JEALTH DIST.
JUL 2 3 1974
,401 ci ENV• A TH
ONLY
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