1974, 05-31 Permit App: K4778 Barn• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE q c�
Name of Owner S"-Gv e". ' t-� 2— Address r /0,/i3 - 2 Off' /'t0e Phone f2 'C �'. S O
Architect Address Phone
Engineer Address Phone
Contractor S at wt L Address Phone
Le al Description of Property (Give complete description from deed, tax r ceipt, et ) � '`'-�/ —O4" — 95-5- - 0 '
6) 0
DESCRIPTION OF WORK: New 17 Addition
Remodel
Moving Bldg. Zone
Fire Zone
Size of Lot 63 0 d 6,38- Sewage System Const.
(Fr., Conc., Br., etc.)
Stories Dimensions a -N / )( .jk i Total Sq. Ft15 Valuation D a d
Rooms Baths Basement Foundation Const. C` Chimney Fireplace
(Full, part, none) �Q (Kind) (Number
Heat. System Type of Roofing irwQX-rt.t' Ext. Finish � 1 / 1 Int. Wall Finish
Use of Bldg. jam./ No. of Units_ Bedrooms
PLOT PLAN
Draw sketch with dimensi s 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.
NORTH
SOUTH
I hereby certify information submitted
as shown.
rkl
is correct and there
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Tr
vn Heating Permit
Sewage Permit
r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
bate
A LAND USE OR STRUCTURE PERMIT MUST BE 0 THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. I , A �-',.j
DON T WRITE BELOW THIS LINE
01/1(' e
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
77/
The zone is (7
Receipt ) Issued
Form 523 Bldg. Code