1975, 08-08 Permit App: L1101 Additionor
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
kind or alter any building or structure already erected, or to change a land use. Construction mast
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
structure of
conform with
fanny
which are enforceable through civil action. County Officials can not bring action to enforce covenants or edications.
Name of Own : . -4'"':
2}- z` Address /G J , %� ,� �Z Phone 9 9 �s —
7
Architect _ Address Phone
Engineer , / Address Phone
Contractor Address ' P ne _
Legal D rip 'on of Pr•.� ( d t f om dge x r ceipt et + ��e` � - ��`� 1
APPLICANT FILL IN BELOW THIS LINE
erty Gi co a description /r
DESCRIPTION OF//WORK: New Addition " Remodel
Size of Lot /!i /�/C�
Stories Dimensions / /1
Moving BId
Sewage System
one / Total Sq. FLAS'
Roo B the Baseme Foundation Const. `'-+<' h
�c —� Chimney Fireplace
(Full, part, one (Kind) (Number
Heaf. Sy tem Type of Roofing -11-7,1 Ext. Finish , ..., J---e-e-- Int. Wall Finish
No. of Units ed
-7(-5_4((:;
"-B
Fire Zoned
onst
Valuati
r., etc.)
Z5 C) L
Use of Bldg. -
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
CG/
m
NORTH
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-
I hereby certi
as shown.
SOUTH 3�0
-7
m
Plans Received
State Licen No.
•
Ind. Ins. Acct. No.
Plumbing Permit
Heating Permit
Sewage Permit
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
formation subm'tted is c. ect and there are no other structures located on this property except
Owner
or Agent
Date
A LAND U E OR STRUCTURE PERMaT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
zf
Sewage Permit Number Issued Building Permit
Remarks
The zone is
r
j/,// Receipt sued
Form 523 Bldg. Code