1974, 10-24 Permit App K6165 TrailerCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE *30
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 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 LINE
Name of Owner Address yf� ��a-�QJ Phone
Architect Address Phone
Contractor
,yam
Legal cription of Property (Give complete descrn from deed, tax receipt, etc.)
���A ""17 v?O
)
Address ,6 Phone
`- Address y //
DESCRIPTION OF WORK: New v/ Addition Remodel
Size of Lot 70 4 X , Vt2
Stories Z Dimensions Col V. iX C.' O ' Total Sq Ft
Rooms �Baths. % Basemen /nnaFoundation Constf ...o: Chimney
(Full, part, none
Heat. System—P -e-- —Type of Roofing---722eg_Ext. Finish( f O
_41P�)B,p---- C/ ..---7 v_ .�
PLOT PLAN
Moving Bldg. Zone % Fire Zo a\R
Sewage System .4c2.9 -4- -1 Const e*�'z-h --
(Fr- c.,.Br- etc.)
4' 2J1 Valuation ‘-5-Oc'
Fireplace( 77' i
Kind) Number
Int. Wall Finish Be40--P-1
No. of Units`/Bedrooms Cs-.3
Draw sketch with dimensions showing: (1) property lines; (2) street or road locati-ns; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
information submitted is correct and there are no other structures located on thi
d
m
4S2ze N License o.
jx,
no. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent r Date
A L ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
property except
DO NOT WRITE BELOW THIS LINE
Your street address will be _ e zone is
Sewage Permit Number ssued Buil in; ermit d^/G.t Receipt 'a 6Issued //4 .3/
Remarks
Form 523 Bldg. Code