1975, 03-04 Permit App K6831 Trailer• •
County of Spokane, Washington
Size of Lot
Stories /
Rooms ✓
Heat. System
Use of Bldg.
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -I
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 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 c t is A j L-.L t Address ,, /6- �Y/���11 `� ✓tip -�f Phone
Architect Address
Phone
Engineer j ,n� Address PdHD& Phone
Contractor f2-(i �- ,t21 -f., ,4 1,- Address (. t� 1L'/� 1 / / t ' G .4,- Phone yam.• z % .'S �/
/ 'T
Legal Description of Property (Give complete description from deed, tax receipt, etc ) . 19�-9iq-!L/CJ
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4 a a -i ,13 --/(- 3,cu c 1(,643- �c iia _ � -
DESCRIPTION OF WORK: New )( Addition
7 X/0.s
s
Remodel _ Moving Bic19. Zone,7/ Fir Zone 3
Sewage System R4-0-4='" ,C- Const 4-0.4 .
�,X�� (Fr., Conc., Br., etc.) a
Dimensions /� ' '
Total S Ft Valuation ��� 0 6
Baths / Basement i' ✓ Foundation Const. �if�% ���rCTi�
Chimne
(Full, part, none y Fireplace
(Kind) %) (N tuber
// Ty f Roofing Ext. Finish � - Int. Wall Finish If-, (/yfr'C
6--2yLi . (44,i 1,t" °
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
I hereb
as sho 'n.
NORTH
PLOT PLAN kiditi
property lines; (2) street or road locations;
lines a'id streets; (5) dimensions of buildings;
No. of Units _ Bedrooms Q\
SOUTH wZ,Al O,A/1 R V.
tify information submitted is correct and there are no other structures located on this property except
ner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. Ins. Acct. No,
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
j4.5 DO NOT WRITE BELOW THIS LINE
Your street address will be el, //(c/')
Sewage Permit Number Issued Buildi g Permit
Remarks
-75-
Date
CONSTRUCTION COMMENCES.
The zone is
/;;/ Receipt q-3
Form 523 Bldg. Code