1973, 06-06 Permit App K1891 AdditionB� County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ... l -IS -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.
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 -RACK 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 most be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
i 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 Ownep�7
Architect
Contractor C•-«�r
Legal Description of Pr
?rty (Giv complete description from deed, tax
receipt, etc.)
i
42
DESCRIPTI N CO WORK: New Addition Remodel Moving Bldg. Zone _ Fire Zone
Size of Looter Q y ,<F /1 �� ewage Syste Stories dJ2.P
e!
Con =, � S Dimensions .T x % r��,oza otal 5 FR� i �'
(Frame, concrete, brick, etc.) J Sq. �cZV uation /_J..h_d-f� —
Rooms___��aths i Basement �G Foundation Const. C2 n2Z=1-_A ems_ Chimneyreplace
(Full, part, none) nd) (Ner)•
Heat. System Type of Roofing Ext. Finishle" _e;40�_u:t. Wall Finish
Use of Bldg. No. of Units -/— Bedrooms
{�r�� ?
Garage or CGort Attached- �r n .�
Private Uetatched C 9z
6i PLOT PLAN
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.
I
N
N
NORTH
,�1
SOUTH
Ind. In cct. No.
REQUIRED
Plumbing Permit
wr Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
hereby certify information sA itt9d is correct and there are no other structures located on this property except
- Ykner dr Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
US IS NOT A PERMIT.
DO NOT WRITE
`xnur'street address will
Sewage Permit Number
Remarks
Form 523 Bldg. Code
THIS LINE
The zone Ss
Receipt asued