1974, 05-23 Permit App K4700 TrailerCounty of Spokane, Washington
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 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 47235.
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
40,44.4 %v _ Gf ! f0
Name of Owner '\.) �,(°a (` Ji-F t ter% :�' Address - //�-2 2 { % -L - Phone
Architect 1 Address Phone
Engineer Address Phone
Contractor 5-0 ./5 , Address /'- Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc ) f - !x � �%g/I —
k•G> if i9 it
DESCRIPTION OF WORK: New V. Addition
Size of Lot 74 X
Stories / Dimensions g- '-'.J s
Rooms "� Baths / Basement Foundation Conste�1 [`' ' -k- Chimney Fireplace
(Nu (Full, part, none) TALL
(Kind) (Nu er
Heat. Systems %te , f'.4. Type, of Roofing -74,,�'.iA t &&. Ext. Finish /44 O .GCX Int. Wall Finish -
Use of Bldg. -1/1/% .el-iu J --.{4iir'ri r' - a ,4 - O c'.J.-r'I%f-LP'o No. of Units _ Bedrooms
Remodel
Moving Bldg. Zone i Fire Zone
Sewage System _ �l �' -4/�'� Corns cs ' YL �-
(Fr., Conc., Br., etc:)
Valuation `n- C ` C'
L
'=)raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
o0osed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
epf and water supply lines.
Total Sq. Ft / 1-=
I hereby ce
as shown.'
PLOT PLAN
NORTH
State License No.
i.iri_✓L
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
information submitted is correct and there are no other structures located on this property except
S 3_7,1
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS A PERMIT.
n-r,M
0 NOT WRITE BELOW THIS LINE
Your street address will be e, j / (� ��✓
Sewage Permit Number Issued Building Permit -be, Receipt &' ! Issued
Remarks 4 •f7
CLce__ '- �:1 r�-�'lx�i �' _ �' i / .2 „72,
The zone is
Form 523 Bldg. Code