1974, 06-06 Permit App K4840 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.
AGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
S T-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
1 ast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
5 ATE 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.
,� APPLICANTFILL IN BELOW�THIS LINE
,v
Name of Owner ' '1 d /// G='� fr�l . Address 13Phone /i 'S / �.
Architect / Address Phone
Engineer i Address Phone
Contractor — s s -- ' Address Phone
Legal Description r perty (Giv complete de cri tion fr d e t r ceil etc
1
DESCRIPTION OF WORK: New f" Addition
Size of Lot
Remodel
Stories J__._Dimensior7'1
s 7.-/l C C.)
Rooms 4 Baths)Basement Foundation Const e 44 •
all, part, none)
Heat. System �• T e of Roofing Ext. Finish
Use of Bldg.
Moving — Bldg. Zone Fire Zo e-3
Sewage System S Const. 2
(Fr., Conc., Br., etc.) 0-0
Total Sq. Ft (Kind) Valuation Z'
Chimney Fireplace
(Number
Int. Wall Finish
Np. of Units 1 Bedrooms
raw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines
NORTH
PLOT PLAN
property lines; (2) street or road locktions; (3) location of existing and
lines a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
State Lace se No.
Ind. Ins.
ct. No.
REQUIRED
Plumbing Permit
nt Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informati itted is corr and there are no other structures located on this property exc t
as shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
;,w)14/1 f, �ij DO NOT WRITE BELOW THIS LINE
Your street address will be / "5 ! �j
Sewage Permit Number Issued Building Permit- isye
Remarks
The zone i7-) 0141^�
Receipt lc ` Issued (/(.I7 5/
Form 523 Bldg. Code