1975, 11-14 Permit App: L2093 Lawn Building• 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
yt
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. •I
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 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
P. t% `3,> 2 f"�-0Ot�4 Phone
Name of Owner �O�n1Sa tri-c4� Address 1�
Architect �C.w-S Address :90 %�o 444 t'WA� Phone '1 -II7J
Engineer S4{'+.t-3 Address-,qq�� Phone
Contractor SkTp �O%.V��J Address -Ira ter` o5,/ Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1
gird- 7p a1 S. i ctl t6 &k II P,cce f-gLo& 4amb't aayq.q., •��
Gr4v ^ Circe) 5-S2- //SO
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot Sewage System
Stories _Dimensions
Rooms _ BathsBasement
—WI, part. none
Heat. System Type of Roofing
Use of Bldg.
onst.
Fr., Conc., Br., etc.)
�rr��,, a•�..., co
� (� Total Sq. Ft. � t1PZ4
Sc Va17Ty'
Chimney Firepl
(Kind) ( umber
Int Wall Finish
F -G s.ry
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
N
Ext Finish
No of Units _ Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH (RESIDENTIAL�J- COMMERCIAL
czifrQe^
w
N
y
State License No.
»3-63- 151 4 1
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit -
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby cetlx informati n s terj i correct and there are no other structure
as shown.
/1
lova ed onkhis property except
/ 1/ 7,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number Issued Building Permit WS q ! q
/ Receipt
Remarks
/732
7 The zone is
Issued
Form 523 Bldg. Code
JUNE 18, 1975
PLEASE FILL OUT THIS SPEC SHEET PROPERLY AND PUT ;N. WITH £VERY
PATIO COVER 801D AND EVERY LAWN BUILDING SOLO, THIS INFO IS
NEEDED TO FILL OUT PERMITS,
ANY JOB BOLD AFTER JUNE 21sT WILL BE REFUSED WITHOUT TH18 FORM