1975, 05-13 Permit App L0058 Poolir 0
4
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 O
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Z;)
GENERAL REQUIREMENTS PERMIT FEE.
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MIT 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 most 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 he
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.
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 i c, Q' V e " Address z c f l j b eo al i%Pr itN. -C- Phone R
Architect Address
Phone
Engineer Address Phone -�--
Contractor M i Ota 5 Lc nn e N S-ta C_ Address l I rf A$ Ft.•. n e Phone
Legal Description of Property (dive complete descripXton from) deed, tax receipt, etc•1 f
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone --/— Fire Zone
Size of Lot _ ti i X C Sewage System onst.
' / v 3 �Fr., Conc., Br , etc.)
Stories _Dimensions b /l �- �-s-
s1! 5��•
Roans _ Baths Basement Foundation Const.. Valuation
Total Sq. Ft.Chimne
Fu I, part, nonce— Y(Kind) (Number
Fireplace
Heat. System _Type of R ,ting Ext. Finish Int. Wall Finish
Use of Bldg. I'K Wt No. of Units _Bedrooms
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 'p water supply lines.
NORTH_ State Li can No.
I Ina. Acct. No.
SOUTH
REQUIRED
Plumbing Permit
tw Heating Permit
NSewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted As correct and there are no other /•structuufes located on this property except
as shown./ J/I /
% 17
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will to% L
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
ing
The zone
Receipt