1974, 03-01 Permit App K3736 Trailerounty of Spokane,
as
ton
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 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 -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 e
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 Sta e
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.
RES11
ICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
whi h 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 -h LZ,✓-«--zr•-- Address S //L-S-G S- ...��yopptone
Architect y�� Phone Engineer 4. 2 'n Phone
'ernrb4csr_"�-"-...t.,E fo-E'�-/�'S -address �r
Legal Description- �ooff��Property (Give complete descaption from deed, tax receipt, etc.)
7 _/-22,./2-P.60/ - d 1'9'l - .c- O/ 9
DESCRIPTION OF WORK: New )( Addition
Size of Lot 7D ' X / /0 /
Const Dimensions /y' X 69
concrete, brick, etc.)
ooms `--1- Baths / Basement n/jFoundation
(Full, part, none)
Heat. System Type of Roofing
Use of Bidg.
Garage or Carport Attached
Remodel
Moving Bldg. Zone % Fire Zone s
Sewage System . 9Cri i. a . Stories, '
Total Sq Ft S2 /77 Valuation �/--4�'i 000
Const. ter+-rs-rr .r-' ._,(' ',Gi„ Chimney
(Kind)
--'�'�F,, •z^� Ext Finish Int. Wall Finish
-y No of Units
sket
ch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Fireplace
(Number)
Bedrooms 4
Private Dethtched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State License No,
Ind. Ins
t. No.
REQUIRED
Plumbing Permit Oee
nn Heating Permit �\
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed �✓
SOUTH
I herely;certify information submitted.. is correct and there are no other structures located on this property except
(-
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.��
3L-' (2 ea( -n- -- 'a(/)
Your street address will be
Sewage Permit Number Issued Building Permit /
Remarks
DO NOT WRITE BELOW THIS LINE
JThe zone is 7�- 34 ,
/173Aecei t p Issued
Form 523 Bldg. Code
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