1974, 02-19 Permit App: K3660 Remodel• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 992014
APPLICATION FOR LAND USE OR STRUCTURE PERMIT S
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 47235.
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 Ownerd5a--4 ddress / c '7/ ' C T '� Phone
Architect P one Engineer Phone
Contractor (0 Address 4) 4'? 'q C -Y- .. Phone / %2. Z 3
Legal Description of Property (Give comply e description from deed, tax eceipt, etc.) 9' 9 , .. b 3
C9 2. - I• 3 4 i - c2.0'-4.10.
n �
DESCRIPTION OF WORK: New
Size of Lot
Addition
Remodel A\ Moving
Dimensions to �—
ncrete, brick, etc.)
Baths
Basement Foundation Const.
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg
Bl.g.
Sewage System
Total Sq. Ft.
Ext Finish
ne
Fire Zone
Stories
Valuatio /5. 3 4
Chimney Fire. lace
(Kind)
Int. Wall Finish
(Number)
o. of Units Bedr.. ms
Garage or Carport Attached Private Uetatched
t Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
sLS— NORTH
m
N
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State Licen No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n� Heating Permit
Sewage Permit
I herepy certify
as shown.
Owner or Ag
SOUTH
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ubmitted is.correct and there are no other structures located on this property except
nt
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / _7 l' " S e zone is
Sewage Permit Number Issued Building Permit2 eceipt 6/ 7 sued
Remarks ✓
Form 523 Bldg. Code