1974, 12-03 Permit App: K6432 ResidenceCounty of Spokane, Washington----1>-
BUILDING
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMI'.----3 �-- -�
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GENERAL REQUIREMENTS PERMIT FEE ��_7..............
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.
MOVIN 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.
RE%TRICTIVE 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 Address Phone
Architect Address Phone
Engineer Address _ Phone
Contractor L sic % Address ���[2�4 Phone
Legal D scription of Pro rty (Give complet cription from deed, tax receipt, a c.)
DESCRIPTION OF WONk New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot �� ,�,i . �C) Sewage System. +% i �'� Const.
(Fr., Br., etc.)
Stories Dimensions /�! r.✓ / 2 f aL�Total Sq. Ft. �l'� Valuation,Zs��, dG�
Rooms __.�C�aths .sement Foundation Const��� �> r� Chimney Fireplace
ull,/part, n(Kind) (Number
Heat. System_ld Type of Roofinz�/• Ext Finish Int. Wall Finish - -
Us f Bldg. _ No. of Units ,� Bedrooms Z—
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PLOT PLAN1��
raw sketch with dimensions showing: (1) property lines; (2) street or road locat s; (3) location of existing and
proposed buildings; (4) distance to property lines aad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH�J State Licen e No.
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Ind. Ins. Acct. No.
Plumbing Per it l
Heating Permit J.11
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW
( �-C�/ , The zone is
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