1968, 02-21 Permit App H0625: BarnCounty of Spokane. Washington2-1,-9/6r
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.._j?
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind ory 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 47-255.
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 o enforpe covenants or dedications.
APPLICANT FILL IN BELOW THIS L f es` `2A -.y' A1P(>L-4-n
Name of Owner i YL- Address one Ul
Architect Phone Engineer Phone
ContractorAddress Phone
Legal of Prooerty (Give complete descr ption from d d, tax receipt, etc.) �.e1 .j''
6,5"
is S �' I. ; �. ? CGS �, - -
/
cin / tf1::s-i — d.t'o 6
DESCRIPTION OF WORK: New Addition
Bldg. Zn / F' e Zn ,Size of Lot
Construction / 1' imensions
(IRA
y
CONCRET
E.
CK,ETC.)
Rooms Basement Foundation Const
(EULL,I.ART,NONE)
Garage Attached
Use of Bldg. 3/4 ✓ N
Remodel
Moving _
Sewage System Stories
(SEPTIC TKNK,ETC.)
Total Sq. Ft. J V 6/ Est. Cos
Chimney Fireplace Htg. Sys. Fuel
KING (N.,AIR,STEAN,ETC.)
Type of Roofing Ext. Finish Int. WaIl Finish •
(CONROEITION, ENINOLE,ETC.) (EN.,NETAL,SNAKEI (PLASTER,DRYNALL,ETC.)
No. of Families Miscellaneous
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.
N
-4
NORTH
SOUTH
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
I here ertify informatiol sub 'tted is correct and there are no other structures loc on t s yr�e ty except
as shown. / / o1 (/��
tA�
Owner or Agent Date
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT WR E BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
e zone is
Receipt