1971, 11-03 Permit App: J1169 Demo BarnCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT pjj
GENERAL REQUIREMENTS PERMIT FEE.z
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. Pater supply must be approved by the County and State Health Departments. Where work onnter 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 47235.
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 .lth 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner . = — ddress % 4f O 1 % F , n Art Phone
Architect Phone Engineer Phone
ContractorD�0 Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
p 9 5-442 - 61 oS' ,c / ti aiL s r' 5
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�d6R U/- /N e ' dr /- 9f / 5 ,,z A/4 /A L Sit AjJ
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DESCRIPTION OF K: New dition Remodel Moving Bldg. Zone Fire Zone
Size of Lot Sewage System ries
Const Dimensions Total Sq. Ft. 4ctie-t) Valu /?r'(
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const
(Full, part, none)
Heat. System Type of Roofing Ext. Finish
Use of Bldg. 1t-44-'1-----'
Garage or Carport Attached
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (I) 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.
ni
H
NORTH
I here• certify
as shown.
SOUTH
aformation submitted
Owner or Agent
State License No.
,/7- O % €1"c5
Ind Ins. Acct. No.
/91- /rte
REQUIRED
Plumbing Permit
w Heating Permit
an Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on this property except
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 w111 be �� e zone te„ — ,11-1
Sewage Permit Number Issued Building Permit � Receipt , sued // 9/--7,/
Remarks
Form 523 Bldg. Code