1976, 11-03 Permit App: L6086 Dog HouseCanty of Spokane, Was!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 01
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 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor
Address /� .moi ' Phone/1 Y - i j-C'Ij
Address / / Phone
Address ��i ! i '/ - Phone
-Address Phone
iir.scription of Property (Give complete description from deed, tax receipt etc ) / R S' / 3 / J
i/�-/�
DESCRIPTION WORK: New •
Size of Lot -e -r--- .q
Stories _CS)-$..2."0Dimensions w.
Rooms / BathsBasement
—WO!. part. none)
Heat. Syste Type of Roofin Ext Finish
Use of Bl 2E, L� �` ,��� 1.)
PLOT PLAN
Addition Remodel
Moving Bldg. Zone -/ Fire Zo
3
Sewage System Const ---i__......_.2.-
(Fr., C , r., etc.)
`7�� Total Sq Ft Valuatio
Foundation Const "Std --+t-A Chimney Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units. �edrooms
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.
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certify informatioq. submitted is correct and there are no other structures located on this property except
rt4%
i/ fJ/7`er or Agent
Date
A LAND USE OR' STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT ITE BELOW THIS LINE
Your street address will beg./ 7/7) S /_.( ,,/ The zone 7iss
Sewage Permit Number Issued Building Permit N jCQt,/ Receipt ( 3 l: sued
Remarks (1�
•
Form 523 Bldg. Code