1975, 08-27 Permit App: K7012 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N_ Ail JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
OENERAL REQUIREMENTS PERMIT FEE_______ ___
PERMIT REQUIRED_ A land use or structure permit is required by County Resolution to erect a building or structure of WW
kind or alter any building or structure already erected, or to change a land U00, Construction must conform with the
Spokane County Building Code and Zoning Ordinance: Construction is subject to inspection.
WATER, mater supply must be approved by the County and State Health Departments. Where work on water connections disturbs
Che surface, shoulders or ditches of County Roads, permission must be obtained from the County EnK ineer's Office_
i.OXwA SYSTEM. Permits are required in all cases by County Resolutions NOS, 45-133 and 47.235.
SET -BACK MOM PMPERTY LINES. In most zones and under most circumstances, a set -back from the front property linP�a�t
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 richt-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 7 Address
Architect Address
Engineer Address _
Contractor Address _
Legal Desgription of Property (Give co_%Pjpte oescriptog foriNdeed, tax
Phone
Phone
Phone
Phone
ipt, etc.) X35 � — '0
DESCRIPTION OF WORK; New _ /Addition Remodel Moving Bldg. Zone Fire ne
Size of Lot /Jf / . 77'1 X, �!Z /a6'_c5 Sewage System onst.
/��}} G / �Fr., Co c., Br., etc.)
Stories I��`�imensions 7, (4 �� 4 T9tal Sq. Ft, Valuation 2� '�
Rooms Bath Basement Foundation Const. -��- ChikntVWall
Eu I, art, none Firepl ce
p �•�(Kind) (Numb��
Heat. System Type of Roofi g Ext. Finish Finish
Use of Bldg. [�No. of Units _ Bedrooms —S�
r _.
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.
tate License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
a
40Sewage Permit
1
Plans Received
Plans Checked
glans RolurnEal
glnnf. )=1aKnrl Ui,
Plans Malled
SOUTH
I he by certify format' n subm tted orrect and there are no other structures located on this property except
as shown.
Owner or Agent pate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENS.
THIS IS N07 A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be .� J The zone is
Sewage Permit Number Issued Building Permit Receipt
Remarks ------A"-
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