1972, 07-26 Permit App: J3871 Barn1111 1111
(limey of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7
PIT 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 thr ugh civil action: County Officials can not bring action to enforce -covenants or dedications.
fvpne4 APPLICANT FILL IN BELOW THIS LINE
�M
Name of Owner .24:1_b_e_ fT iet (1 h /) Address IV • '/ / 7/ . Et,e H eViPhone (7A -Z; — 06019
Architect Phone Engineer • Phone
Phone
Contractor
Address
Leg escription of PropertyGive complete -de cription from deed, tax recei t, etc.)
d
eh�-cAt akch �•, d3 .-Pt (�f-T.'33I? • fl.
DESCRIPTION QFTOR : X Q Addition
Size of Lot S l0 ke
Const. F1-4rt-a Dimensions 1 1
$ - x a o'
(Frame, concrete, brick, etc.)
Rooms Baths Basement FoundationConst �' Chimney Fireplace
(Full, part; none)
`� (Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. F4 hn No. of Units Bedrooms
Remodel
Moving Bldg. Zone
Sewage System
Total Sq. Ft. 3 a
Fire Zone V•
Stora s �/►�
Valuation
40
Garage or Carport Attached
Private Detatched
PLOT PLAN ,
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location offexisting and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem And water supply lines.
State License No.
ess
NORTH
0
r
goo $( I_S` a _
SOUTH
I hereby tify .formation sub fitted is correct and there are no other structures jpcated on this property except
mg 7 -- 6QC
.�rr,�t
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sus
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
as shown.
Owner or Agent
Date '
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO ' OT BELOW THIS LINE
Your street address will be44C/
Sewage Permit Number Issued :/*lding Per
Remarks
e zone 1
Receipt sC ' /1 Issued
Form 523 Bldg. Code