1972, 03-20 PermitApp: J2193 Pigeon LoftCounty of Spokane, Waishingto!
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 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 Coded 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 SYSTEMPermits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM OPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is re fired, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. ere 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 require 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ddress / .7 � / �L_� / Phone 4451/,:- 9'3
Architect Phone Engineer Phone
Address Phone
Contractor
4-1 _ )
Legal Des iptidn of Property (Give complete description from
C-1.1, �.
DESCRIPTIO O 7- loe
K: New ie Addition
Size of Lot !,!'_
Const.
(Frain
Rooms
%tr' 7XP_Dimensions
oncrete, brick, etc.)
e
-�"Saths Basement Foundation
(Full, part, none)
Heat. System
Use of Bldg.
Type of Roofing
�x1 r
Garage or Carport At ched
Draw sketch with
proposed buildings;
tem and water supply
m
deed, tax receipt, etc.) �-
,4/ / 9-51
•=a711 A10,4eCti—
Remodel Moving Bldg. Zone ____f-__ Fire Zone .....3,—
Sewage
Sewage System,Stories
Total Sq. Ft. 6 4) Valuation
72717-"I , t
Chimney "--Fireplace
Const.
Ext. Finish
(Kind) i/ (Number)
Int. Wall Finish 0,t)1&
No. of Units Bedrooms
Private Detatched
dimensions showing: (1)
(4) distance to property
lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations;
lines and streets; (5) dimensions of buildings;
I hereby certify informs
as shown.
m
M
•i
(3) and
(6)locatin locationooff existing
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
SOUTH
submitted' s corr ct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MU BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
,,t)7
Sewage Permit Number Issued
Remarks
ding Per
)
e zone is
Receipt
••
ue d 1'/ 7 74
Form 523 Bldg. Code
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