1971, 07-14 Permit App: J0051 Addition•
County 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 use or structure permit is required byCounty 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 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 OF BUILDINGS. A permit is required to move an existing building. When a building is moyed 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
Architect
I'/i
Contractor
Legal Description
of Property (Give co
APPLICANT FILL IN BELOW THIS LINE
ddress -ry -+*moi O Phone
:, ineer _ Phone
Phone t7—/057
4
.1te descri
.4121
o from deed, tax receipt
a _
c.)
9%907
DESCRIPTION OF WORK: New t.. ------Addition -model Moving Bldg.
Size of Lo, % S—A /a. Sewage System
Const. •/i.i.ia Dimensions • L57.4V1-2, Total Sq Ft.
(Fra .' concrete, brick, etc.) .
Ro., s / Baths Basement Foundation Const. regi
(Full, part, none)
Heat. System
Use of Bldg.
Garage or Carport Attach
Fire Zone
Ilreplace d
(Number)
Chimney
(Kind)
Ext. inish Int. Wall Finish
No. of Units Bedrooms
Detxtched
Draw sketch with di'ensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
9S,
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions df buildings; (6) location of sewage sys-
State License No.
2 ?-o/- t C'2
Ind. Ins. Acct. No.
REQUIRED,
Plumbing Permic
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
7— / C 7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NOT WRITE BELOW THIS LIME
Your street address will be
Sewage Permit Number Issued
Remarks
Building Perm
n
e zone Ssl
Th
Receipt 9.3' @ 'Issued
Form 523 Bldg. Code •