1974, 01-06 Permit App: K6578 Residencew
1110
' . •
County of Spokane, Washington
NM -
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 mast 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.
Go
APPLICANT FILL IN BELOW THIS LINE
Name of OwnerAddress
Architect / Address Phone
Engineer Address Phone
Contractor, Address Phone
Legal cri ion of Property (Give com let a cription from deed, tax receipt, etc)
DESCRIPTION OF WORK: New
Size of Lot / '3 Q X
Stories /Dimens ajis 41
Addition Remodel Moving
$ ". 5-3 Sewage Syste
ation Const —�
BId
Zone
Total Sq
nt
('N art non�—
Fours
R ms Baths - - : - seme
Heat. Sy� Ty • of Roofing Ext. Finish�'is ( Int. Wall Finish
Fire Zone
s
Ft./221 Valuati Col.BJr f�C�
etc.)
cc.. o
Chimney
(Kind) Fir- .lace
(Number
l
Use of Bldg.
PLOT PLAN
No. of Units Bedr.
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.
NORTH :ESIDENTIa - COMMERCIAL
I here•. certify info
as shown.
4
SOU H
Wt. --
ion submitted is correct and there are no other structures located on this property except
m
State Lice No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
//
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Ag
t Date
A LAND USE OR STRUCTURE PERMIT MUST BE 0
THIS IS NOT A PERMIT.
(9A/31144/11 -
Tour
4/Tour street address will be
E PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
/J q 0 e
Sewage Permit Number Issued
The zone
Building Permit ,7 Receipt
is
"r issued
ks
form 523 Bldg. Code t