1971, 09-20 Permit App: J0794 MHCounty of Spokane. WasKinston
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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 most 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 easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IFJ BELOW THIS LINE
Name of Owner �= r L — �� ddress
Architect Phone Engineer Phone
y,� Phone
Legal Des ription f roperty (Give complete d�:cripti n from deed, tax receipt, etc.) x -C ��
4Lr--"e', Phone
Contractor
Address
DESCRIPTION OF WORK: New
Size of Lot 4/ vX / �-
Const. -"-P Dimensions
(Frame, concrete, brick} etc.)
Rooms Baths / Basement
(Full, part, none)
Type of Roofing
Addition
Remodel
Moving Bid_. Zone Fire Zone
Sewage Syste Stor�' es
Total Sq. Ft. S'O Valuatiq�i 5� G 0
Heat. System 5? __-
Use of Bldg.
Foundation Const.
Chimney Fireplace
A' �f . (Kind) uber)
m
zei
Ext Finish Int. Wall Finish
No. of Units Bedrooms
Garage or Carport Attached Private I)etatched
PLOT PLAN
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
i0
5i
S, -
SOUTH
I hereby certify innotion submitted
x
as shown.
State License
0.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Ym
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORF. CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7/
except
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
e zone i
-
Building Permit 1 Receipt [, %SQ Issued