1971, 06-04 Permit App: I4767 Fence Renewal of I1719County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,CI
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 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.
PPLICANT FILL IN BELOW THIS�LI
Name of Owner
Architect
Contractor
oG
ddi•ess 40 SAIL Pe_________PO
Phone Engineer Phone
Address Phone
Legal Description of Property (Give complete descrip ion from deed, t:x receipt, etc.)
wIf
DESCR TION OF IfFt . New Addition Remodel oving Bldg. Zone Fire Zone ,
Size of Lot Sewage System Stories
Const Dimensions Total Sq. Ft
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext Finish Int. Wall Finish
Valuation
Use of Bldg. No. of Units Bedrooms
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.
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�n Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rt7 informatio, , bmitted is correct and there are no other structures located on this property except
as shown.
Date
A LAND USE OR STRUCTURE PERMIT MUST C
BE ON THE PREMISES BEFORE CONSTRUCTION OMMENCES.
THIS IS NOT A PERMIT.
I hereby
tia
Owner or Agent
DO NOT WRITE OW THIS LINE
Your street address will be r 2 _' .e zone
Sewage Permit Number Issued Building f ' - Receip
Remarks
Issued
Form 523 Bldg. Code