1971, 01-12 Permit App: I3280 Demolition Motel•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99207 // / d�
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �I
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 coven§nts or dedications.
Name of Owner
Architect Phone
Contractor
APPLICANT FILL IN BELOW THIS LINE
vx
Address Phone )74 `'1 V 7r9K
Engineer Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New
Size of Lot
Const Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths r Basement
Addition
Remodel
Moving Bldg. Zone
Sewage System
(o U Total Sq. Ft 2c ((( Valuation
Fire Zone
Stories
Foundation Const Chimney Fireplace
(Number)
(Full, part, none) (Kind)
Heat. System f Type of ftoofir�g Ext Finish Int. Wall Finish
Use of Bldg.
Garage or
No. of Units Bedrooms
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.
m
N
-4
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
cm Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on t is prop�,,((ty7e sept
as shown. Pro
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO N WRITE BELOW THIS LINE ,,- /
Your street address will ; r; If ! // 'e zone is (_ ,i"�
Sewage Permit Number Issued 1 Bui.in Permit
g t Receipt gX�cL Issued
Remarks � 6 /
Form 523 Bldg. Code