1972, 03-21 Permit App: J2225 Move BuildingCounty of Spokane, Washingtoii
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 0,,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_. s��� I/v
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.
NATER. 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.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a
least 25' is required, a 5' side yard, 15' side yard from a flanking street,
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be
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 ease
which are enforceable through civil action. County Officials can not bring action to enforc
45-133 and 47.235.
set -back from the front property line, of at
and a 25' rear yard are required.
obtained pertaining to set -back and ingress
is running with the land
cove , Its or dedications.
APPLICANT FILL 111 BELOW �'THIS �►�,,,,;/ /t
ddress %L� [�fig
�"
Phone / gineer Phone
Address Phone
complete description from deed, tax receipt, etc.) j'%� /n� 0,cf),624
Z
Name of Owner
Architect
Contractor .a. 1.,.---)
Legal Description of Property (Give
INE
,20
Phone 601 --
DESCRIPTION OFOyyRK: New Addition
Size of L/' 6 �)f
(Frani
Dimensions
e, concrete, brick, etc.)
Heat. System
UseofBl.• /__'-
Garage or Cti rt At 41119
Remodel
Moving Bldg. Zone 1
Baths Basement
(Full, part, none)
Type of Roofin
7X/5`
Foundation Con
t Finis
Sewage System
Total Sq. Ft. 9
Fire Zone
Std
��
Valuati
Chimney
(Kind)
nt. Wall Finish
r
Fireplace
(Number)
No. of Units Bedrooms
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) dims sions o buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
/y -Z'
I4�
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit,./���
Heating Permit
Sewage Permit
fi
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structur s located on this property except
as shown.
Ile , l
/ in _ /!stir_ / - `�`
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 VNRITE BELOW THIS LIME I
Your street address will be
Sewage Perm Number
Remarks
4
i ..
r Issued
Building Pe
/
e zone
Receipt
1
Issued