1971, 07-23 Permit App: J0173 Barn Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT( /2
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.
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APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect Phone
Contractor
Legal t- c ' ptio•' n o P 6(
dress _ �r.�-<-i- " Phone /tea..
gineer Phone
Address
(Give complete description,from deed/ tax rece .t, etc.)
Phone
DESCRIPTION OWORK: New Addition x
F Remodel
Size of Lot 0 �-d-tf L/
Const 'T)�o��,-.p Dimensions // Y /O 0
(France, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System pe of Roofing .. " �� Ext. Finish / / —//
Use of Bldg. _C-- �Pr� / e. -1.n
Foundation Const
Moving
30,5
Bldg. Zone 7 Fire Zone
Stoylps
s vo
Sewage System
/�
Total Sq. Ft. 7 '0
Valuatio
Chimney Fireplace
(Kind) (Number)
Garage or Carport Attached
Draw sketch with' dimensions showing: (1)
proposed buildings; -(4) distance to property
tem and water. supply lines.
NORTH
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby
as shown, j
3' informat
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUS
THIS IS N07 A PERMIT.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
j/ Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ubm tett is coact and there are no other structures located on his property except
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
�- e zone is
0 73 Receipt
Issued
Form 523 Bldg. Code