1977, 09-21 Permit App: M3458 Storage Shed® ^ 0)
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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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 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 47235.
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 covegants or dedications.
APPLICA T FILL IN BELOW THIS LINE
Name of Owner / t i L . !V ' ' ddress
Architect Address
Engineer - Address Phone
. 6 23
Qp0/
Phone f.Zt- fl/S
44,2
Phone
Contractor �-�� Address
Phone
Legal pescription of Property (Give complete description from deed. tax receipt, etc.) Parcel Number / FS`S si - 06 o$
v
V
DESCRIPTION OF WORK: New v Addition
/ 1 ' X/�
Size of Lot
Remodel
Moving Bld Zone / Fire Zone J
Sewage System 4 S bt" Const. CAQ `�—a
r., Conc., Br„ec.) ,�-
aluation- �A42 a(Ji
mney )nd)� Fireplac�el-=��
.Int. Wall Finis')U /..Ni%er-Cumber) �
No of Units Bedrooms �j
Stories / Dimensions / .0 it / t, Total Sq. Ft.
Rooms / BathBasement Foundation o Const QICAse c. L-ff C Chi
/ Fu I, pert, none , /p
Heat:System LJ .6`LEtf 4"1 ----Type of Roofin Ext Finish
Use of Bldg. QgP .---9.24_
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
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
f
SOUTH
RESIDENTIA
- COMMERCIAL
UIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
07/- 77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Arc r G �� dtchte , CG( • n� 3Y5 The zone is (C
Issued Building Permit u l ReceiptCO/ Issued
Form 523 Bldg. Code