1975, 03-12 Permit App: K6898 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
1 01
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /VI(/
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.
WATER. 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
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Name of Owner X--C� A Address -2 Phone�.3a,
Architect Address Phone
Engineer Address _ Phone
Contractor- =: %�-� Address y_ .r' � r '� /�4%" Phone I It?- S'
Legalr��(escription of Pr erty (GivJp complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New ., k Addition Remodel Moving Bldg. Zone Fire Zone ( 3
�S— f �. J onst.F/
Size of Lot �. ,� �/ Sewage System -�G2 �Fr., �',�c fN: , ., etc.)
Stories
_Dimensions o-� Total Sq. Ft. Valuation lT` % ll
Rooms Baths Baseme Foundation Consr-t.E' ' Chimney �1� Fireplace
`Full, par o (Kind) (Number
Heat. System Type of Roofings f Ext. Finish' -1-11 Int. Wall Finish
Use of Bldg. r �? No. of tjpits _ZBedrooms .—
( PLOT *LAN
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3 ' ocation of existing and
osed buildings; (4) distance to property lines aad streets; (5) dimensions ui ngs; (6) location of sewage sys-
em and water supply lines. 4� i
/./ --,,NORTH
11 �a
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-14
SOUTH
State License No.
Ind. In Acct. No.
X/ 0i� Ir --s
RE9UMD
Plumbing Per���'js��
Heating Permit
Sewage Permit
Plans Receive
Plans Checke
Plans Return,
Plans Picked
Plans Mailed
fhereby certifalf'tfflroriion ted is 4correct and there are no other structures located on t is prop rty except
shown.
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Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS OT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is
Sewage Permit Number ed Building PermitReceipt % ' asued
Form 523 Bldg. Code
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