1975, 06-23 Permit App L0586 Mobile HomeCounty of Spokane. Washinigton
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4
GENERAL REQUIREMENTS PERMIT FEE ---- ; .............
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of au"'
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. 45-133and 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 251 is required, a 5' side yard, 15' side yard from a flanking street, and a 251 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 1:.,�
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 Owner
Architect
Engineer
Contractor
Legal Qescti
of Vroperty (9i)ve comp)
n!!��-'�Address Phone
Address Phone
Address Phone
Address( I !2k�hTqe
ption forri tax receipt, etc.)
.4--
DESCRIPTION OF WORK: New — Addition Remodel Moving Bldg Zone Fire Zone
Size of Lot 5- Sewage System
Fr., Conic. Br. etc.)
Stories Dimensions Total S Ft Val.atio 6_0 C"
Baths Basement
Rooms Al 0 Foundation Cons Fireplace -4z 6
-'-T- , part, non- Full _(K�ind)
(Number
Heat. System Type ?f Ro0f1Pg Ext. Finish Int. Wall Finish
Use of Bldg. ZK_ No. of Units / Bedrooms
i
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 State License No.
Ind. Ins. Acct. No.
J RE9UIRED
m
Plumbing Permit
Heating Permit -
Sewage Permit
Plans Received
Plans Checked -
Plans Returned.
Plans Picked Up
Plans Mailed —
SOUTH
I hereby certif formation submitt d is correct and there are no other structures located'o this property except
as shown.
V
V
Owners AgentDate
A LAND USE OR STRUCTURE PERMIT MUST PTIE PREMISES BEFORE 'CONST RUCTION COMMENCES.
THIS IS NOT A PERMIT.
00 NOT WRITE BELOW THIS LINE
Your street address will be The zone is
Sewage Permit Number Issued Building Permit"" a Issued
Remarks
Form 523 Bldg. Code