1972, 07-20 Permit App: J3805 StorageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.
PERMIT REQUIRED. A land cse 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 dedicatio
Name of Owner �� �� °� Address 72—
Architect Phone Engineer
Contractor ��� Address
L
� iption of Propy ty (Give complete description fr.1 deed, tax rece'
APPLICANT FILL IN BELOW THIS LINE
ieg
one
Pone —
tc.) e %S . 3 —e 7/s
DESCRIPTION OF WORK: Ngw X Addition Remodel Moving Bldg. Zone
Size of Lot . — 1 �P�' _ Sewage System's
Total Sq. Ft.
e Dimensions
rame, co Crete, brick, etc.) )
ooms Baths Basement
(Full, part, none)
Heat. System Type of
Use of Bldg. ��-
Garage or Carport Attached
Foundation Const.
Ext Finish
r
Chimney
Fire Zone
Sto s G
�^
Valuatio •
Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
I hereby certify inf
as shown.
J2-
Owner or Agent
SOUTH
s ed is correct a there are no other structures located on this property except
State Licen No.
Ind. Ins. Acct.
REQUIRED
Plumbing Permit
rw Heating Permit
M • Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit
G-L
e zone is
[ Receip ! ssued
Form 523 Bldg. Code