1972, 05-16 Permit App: J3105 MHCounty 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 by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction must
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 HIGHW,A1(5,0Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egre.
/7
structure of any
conform with the
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
Name of Owne
Architect
Contractor
Legal/Description'of Property (Give
ddress
hone Engineer Pone /
Address /J?acv Ln ; /o .0,0 one(1) V.—/V 74
tax_2t7 etc.
om deed
DESCRIPTION OF WORK: New
Size of , of
Co
(Fr e, e, concrete, br etc.)
Rooms Baths / Basement
`��Addition
Remodel
Moving
Sewage Syste
Total Sq. Ft
Heat. Syste
Use of Bldg.
Ftundation Const
Bldg j' one 1 Fire Zone 3,
StgFies
Valua • Z?
none) _ Chimney Fireplace
(Full,
part,(Kind) (Number)
Type of Roofing Ext Finish Int Wall Finish
No. of Units Bedrooms a
Garage or Carport Attached Private Detatched
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.
m
N
NORTH
p9i0/
ofir
I hereby
as shown.
m
a
State License No.
Ino. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
certify information submitted is correct and there are no other structures located on this property except
Ofrner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
ilding Permit
e zone is
Receipt
Issued
Form 523 Bldg. Code
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