1971, 03-04 Permit App: I3622 MH• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT O
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.
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 ease running with the land
which are enforceable through civil action, County Officials can not bring action to enforcp'ytvenrypts or dedications.
Name of Owner
Architect
Phone
Contractor
Legal
/ 4
cript ion of P
PLICANT
(Give couplete de
ILL IN 'BELOW THIS LINE
-ss CSO �o 0) �_- Phone
neer Phone
Ad. -• ss Phone
ption from dee' ta. receipt, etc.)
/AP/.i
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•,ice i �'! ..
DESCRIPTION OF WORK: New Addition
SizoL
L / jr'
ayY6o
(Fram- cofrete, brick, etc.)
Rooms Baths Basement Foundation Const
(Full, art, none)
Heat. System of Roofing
Remodel
Moving
Sewage Syste
Total Sq Ft
Bld
one
/' �J ) ExCFin' h
Use of Bldg �`-�/�G(J_C.1///1 6i.�J L
Fire Zone` 9
Storiyc /
Valuation J
Chimney Fire/lade' d ctrl
(Kind) (Number)
Int. Wall Finish _
Bedro ms
No. of Units
Garage or Carport Attached Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
iroosed 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
as shown.
information submitted is
er or Agen
correct and
m
H
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Date
3 —
7/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BE
0
OW THIS LINE
Building Permit
e zone is
36,33-- Receipt
ssued
Form 523 Bldg. Code