1971, 08-13 Permit App: J0346 Storage Bldgill, III,
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINN 9901
iAPPLICATION FOR LAND USE OR STRUCTURE tT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of IMP
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 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 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 covenants or dedications.
S "n
APPLICANT FILL IN BELOW THIS LINE
Name of Owner _ed;Ci%rt
Architect
Contractor ?...cateo,gef Address Phone
Legal Description o Property (Give complete description from d d, Laz ece ipt, etc ) Q ! /C.)/2:0
21—. / 9 ,13—eif / �/,, accw ca e -C
Phone
ddress C //4 23 _/f Phone h__^' J 3-g7
gineer Phone
DESCRIPTION OF WOvRK: N/,ewn Addition Remodel
Size of Lot 2�^ //7 U
Const. ' J__ Dimensions Z�
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System�-- Type of Roofing Ext. Finish
Use of Bldg.�e
Garage or Carport Attached
1
Moving Bldg. Zone / Fire Zone J
Sewage System Ston s
Total Sq Ft. 7 Valuation
Foundation Const
Chimney
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
nn
N
NORTH
Fireplace
(Kind) (Number)
Int. Wall Finish
No of Units Bedrooms
Private Detatched
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-
I hereby certify informatio
as shown. /
SOUTH
sub ted is correc
and there are
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
o'other structures located on this pro.erty except
ner or A:en
A LAND USE OR S RUCTURE PERMIT MUST BE ON THE PR
THIS 1S NOT A PERMIT.
/3
Date
5 BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
W�3
Building Permit
o3fc.
e zone is
Receipt 2
ssued
2 1)0 �i;ze..-7
Form 523 Bldg. Code