1971, 10-14 Permit App: J1007 BarnCounty of Spokane, W . shingt
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLOCATION FOR LAAO USE OR STRUCTURE PERMIT ,(f
GENERAL REQUIREMENTS PERMIT FEE _._Ji
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 onuater 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 thestructure 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 OP 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.
Name of Owner
a
/,ar�/Address
Architect P >,e Pngineer
Address
APPLICANT FILL 111 BELOW THIS INE
/
Wirdd /
Contractor
ega Description of P operty ( ve c
mplet
e-(j)4--c58z¢
Phone
Phone
descrirtio from deed, tax receipt, etc.) (, 2.-cr-_:. .01„),7 0 CCB? -230`(
— o /f -.J- ' // 6- o/07
DESCRIPTION OF WORK: New _....------Addition
Size of Ly o% O /10/3.9.e) 1..**
1
Cont : i if ..xes Dimensions
(Fra ,1. concrete, brick, etc.)
Roo �_, Baths Basement
(Full part, none)
7, /0--Y
3
Remodel Moving Bldg. Zone Fire Zone
Sewage System Stonnies /
Total Sq. Ft. .S In (1:) Valuatiafl" /0j tda
4/0X/50
Heat. Syste
Use of Bldg.
Foundation Cons
Type of Roofing
ll/lrt�
Chimney — Fireplace
(Kind) (Number)
Int. Wall Finish
No: of Units Bedrooms
Ext. Finis
Garage or Carport Attached
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.
Private Detatched
State License No.
Ino'. Ins. Acct. No.
REQUIRED
Plumbing Penn
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5'0041
I hereby certify infor,:. oubmitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERM! MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
as—
Building Permit
e zone 1
Receipt
Issued
Form 523 Bldg. Code