1974, 07-15 Permit App K5257 TrailerCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �1-
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.
APPLICANT FILL IN BELOW THIS LI ?�?d6
Name of Owner Address
Architect Address Phone
Engineer Address Phone
Contractor C�o�. - Addresscy s P�/ hone �S� —m�
Legal De cription of Property (Qii�ve com to description from dee�I, taxoreceipt, e ) — O
Leg:.
/tI
-Phone44.CC - WS- _
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories Dimensions
Rooms
Heat. System
Use of Bldg.
Bat
Remodel Moving
/e._ l' exSewage System
// X 7
Ba
(Full, part, none)
Type of Roofing
Bldq, Zone
Total Sq. Ft. 918
Foundation Const.. --e-/71 o-, — Chimney
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Fire •ne 3
onst.
Fr., d,nc., Br.,�etc.
Valuation 75 O pv•
Fireplace —
(Kind) (Number
Ext. Finish ) 2 . Int. Wall Finish -
No. of Units_ Bedrooms
<
property lines; (2) stf•eet or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
PLOT PLAN
po5eo i /ev.
SOUTH
I hereby fy information submed is correct and there are
as sho/ e:7
/j i
/� �Owner or Agent
REQUIRED—)
PlumbingPermi.t
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
7- -�sz
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT. 311 2
DO NOT WR I LIN
Your street address will •e
Sewage Permit Number
Remarks (112/
BELOJ
The zone is a
Issued Building Permit 7 Receip4'
Issued _L
Form 523 Bldg. Code