1971, 05-24 Permit App: I4625 DeckCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE���
PETIT 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE
/ 7 9/ r �' Phone 4t % 6 13
Name of Owner'
Address
Architect a Phone Engineer
Contractor
Legal Des,97 n of Property (Give
with the land
dedications.
c_/
Phone
Address Phone
tax receipt, etc.) /9. ` i -S --el-5
omplete description from deed,
DESCRIPTION OF _WORK: New YAddition
Size of Lo) 75 N //7
Const 5 ' Dimensions
(Fra , concrete, brick, etc.)
Rooms Baths
Heat. System
Basement
(Full, part, none)
Type f Roofing
Remodel
Foundation Const.
Moving Bldg. Zone / Fire Zone
Sewage System , -— C, - Stories
:
Total Sq. Ft -� Valuatioi//.S (
Chimney Fireplace ---
(Kind) (Number)
Int Wall Finish
No. of Units Bedrooms -
Ext Finish
Use of Bldg. '
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
NORTH
—1
SOUTH
State Li se No.
Ind. Ins. cct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submited is porrect an there are no other structures
as shown.
Owner or Agent
A LAND USE OR STRUCTURE P MIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
located on tis property except
Your street address will be / % /� �TLr.-e"Z
Issued Building Permit
Sewage Permit Number
Remarks
e zone i
c/4) Receipts
Issued
Form 523 Bldg. Code
(6