1974, 04-01 Permit App: K4202 FenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (;61
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.
LICAN FILL IN BELOW THIS LINE
Name of Owner Address
Architect % Address
Engineer � Address
ContractorAddress
C) i1 ry ) Phone —� 3
Phone
Phone
Phone
3 qY-- e'?d
61/
Leaf( description of Proparty (Give complete descriptiw-fr�m deed, tax receipt, etc )
-
Cly
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories Dimensions
-
Remodel
Rooms Baths Basement Foundation
(Full, part, none)
Heat. System - Type of Ro
Use of Bldg.
Draw sketch with dimensions showing: (P)
proposed buildings; (4) distance to property
tem and water supply lines.
Const.
Moving
Sewage S t
Bldg. Zone
Fire Zone
t Sq. Ft
Chimney
onst.
Fr., Co Br., etc.)
c
Valuati n
Fireplace
(Kind) (Number
Int. Wall Finish
q. of Units _ Bedrooms
Ext. Finish
PLOT PLAN/
i
property lines; (2) street or road locatiiins;
lines and streets; (5) dimensions of buildings;
I hereby
as shown.
SOUTH
nformation submitted
L W
m
-I
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
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 except
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 WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
The zone is C
Building Permit / Receipt 566,s; issued
/�4'2Ga
Form 523 Bldg. Code