1975, 02-28 Permit App K6821 TrailerCounty of Spokane, Washington
as shown. •
A LAN
THIS 1,1
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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.
APPLI ANT FILL IN BELOW THIS LINE
0c"
Name of Owner
Architect
Engi
.ontractor—
regal Description of Property (Give complete detion from deed, tax receipt, etc )
ddress
dress Phone
Phone
Phone
Phone
Address
Address
9-26 7. 37'
DESCRIPTION
, �9Jsii rho/Si
�1�-ram , / G�� .cA
Addition Remodel
Size of Lot h ' // / / 'r
Stories / Dimensions ry G 0 '4'
Rooms J Baths / Basement
(Full,. part, none)
Heat. System Type of. Roofing
Use of Bldg.
6-
w sketch with dimensions showing: (1) property lines; (2) street or road locat s; (3) location of existing and
sed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
OF WORK: New
Moving
Sewage Syst
g (X i2- / T tal
Foundation Const c.
Ext. Finish
Sq. Ft 0 '
Chimney
Bldg. Zone Fire Zone a3'�
Conc., r., etc.) .
Valuation
Fireplace
(Kind) (Number
Int. Wall finish
No. of Units _ Bedrooms
NORTH
SOUTH
PLOT PLAN
State Lice se No.
Ind. Ins ct. No.
REQUIRED
Plumbing Permit
sc
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned - -
Plans Picked Up
Plans Mailed
I hereby/certify information submitted is correct and there are no other structures locate
i
Owner or Agent " Date
U OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
NOT AP RAM
on t is property except
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
-
Building Permit
The zone is
Receipt ? 364' Issued
[....,- 401 RI.dn C. I
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