1971, 06-03 Permit App: I4602 Repair Fire DamageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, 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 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 onwater 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 thestructure 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.
NT FILL IN BELOW THIS LINE
structure of any
Name of 1
Architect
Contracto
egal
Cr
a Phone
% r;w'
on o ropertxG' e compl
DESCRIPTION OF WORK: New.
Size of Lot IVY
Const. Dimensions
(Frame, concrete, brick, etc.)
one
Addrn;serten, —4n 9 -04>K?
.gineer
Ptioglfrom 'e , tax r
Addition
Remodel
Moving Bldg. Zone / Fire Zone,_
Sewage System Storjgs •
Total Sq. Ft.
Rooms
Heat. System
Use of Bldg.
Garage or Carport
Baths
Basement
(Full, part, none)
Typg of Roofi
valuat' ASVD
Foundation Const Chimney Fireplace
(Kind) (Number)
Ext. Finish Int. Wall Finial
No. of Units Bedrooms
Private Detatched
i
411./iii-, i.
s
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.
I here
as shown.
SOUTH
certify '/formation itted
,.e
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
correct anthere 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.
Your street address will be
• Sewage Permit Number. Issued Building Perm
Remarks
DO NOT WR
LOW THIS LINE
e zone is
Receip
-4411,
Issued
form 523 Bldg. Code