1971, 01-11 Permit App: I3278 Demolition Service Stationw 4110
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 �3
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 1
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.
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APPLICANT FILL IN BELOW THIS LINE
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ddress _5� f/ Dom` , one /Z V 7rly
Engineer Phone
Address Phone
Name of Owner
Architect Phone(
Contractor
Legal Description of Pro,•
rt (Give comp to des iption from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New
Size of Lot
Const 4,7-2-1,-e. _ Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Typ of Roofing xt. Finish Int. Wall Finish
Use of Bldg. . - C �� — _,�` ,/,',..e..4_,_- maAmm
,41,—,....• of Units Bedrooms
Garage or Carport Attached Private Detatched
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.
Addition
Remodel
92— Oa/if
Moving Bldg. Zone / Fire Zone J
Sewage System Stories
Total Sq. Ft. Valuation
m
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�n Heating Permit
fls
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures
structures located on this property except
/ /
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown.
DO NOT WRITE BELOW THIS LINE
Your street address will b
Sewage Permit Number
Remarks
Building Permit
e zone is aei7Z
Receipt Issued
Form 523 Bldg. Code