1974, 05-06 Permit App K4482 Trailer• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT l
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.
APPLICANT FILL IN BELOW THIS LINE
--_,Address /I - / ( ? 7 J 2 one
Address Phone
Name of Owner
Architect
Engineer
Contractor
�l Address Phone
ddress 7 //a a..2 EGG! /.v.4< •Phone P�(B ' %/
Legal Description of Property (Give complete description bm deed, tax receipt, etc) /
DESCRIPTION OF WORK: New
4
Addition Remodel
Size of Lot
Stories /
Rooms
Dimensions
Baths Basement e) • ndation Const
Full, part, none
Heat. System_.-e- .- - Type of Roofi9a�Y�2_�
Use of Bldg.
X
pro
teal
m
N
•5
Moving Bldg. Zone Fire Zone v
Sewage System
Conc., Br., etc.)
X O ' Total Sq. Ft r2 l atio
Chimney Fireplace
(Kind) (Number_.,
Ext. Fini
PLOT PLAN
shi ms �� Int. Wall Finish�1
No. of Uni ,, Bedrooms
etch with d"lmensions showing: (1) property lines; (2) street or road Tations; (3) location of existing and
d buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
m
SOUTH
I •reby cer)ify inf rmation submitted is correct and there are
as show
Owner or Agent Date
ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT A PERMIT.
State i en No.
Ind. Ins. Acct. No.
Plumbing Permit
Heating Permit
Sewage Permit
REQUIRE
Plans Received _
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Yot4 street address will be
no other structures locatedthis property except
472
DO NOT WRITE BELOW THIS ---LINE
Sewage Permit Number Issued
Remarks
Building Permit
e zone is
Race Issued 6. , 7- ? .
L /
Form 523 Bldg. Code
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