1971, 11-17 Permit App: J1239 MH•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS • PERMIT EE
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 most 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.
Name of Owner
Architect
Contractor
APPLICANT FILL 111 BELOW THIS LINE
ddress
Phf.e Engineer
Address
Legal Description of Propert ((Give compleetedescription from deed, tax receipt, etc.)
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DESCRIPTION OF WORK:,/New Addition .l
Size of Lot ( / go
Const 4-44-71 4-.{x,- Dimensions
(Frame, concrete, brick, etc.)
Rooms i� Baths Basement
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H at. Syste �iC-
r
U of Bld
C rage or
model
Phone
Phone
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Moving Bldg. Zone Fire Zone
Sewage System Gi-�- Stories
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Total Sq. Ft. r)
�' Valuation
Foundation Const �(.�`-'may' — Chimney Fireplace
(Kind) (Number)
Ext Finish Int Wall Finish
No. of Units Bedrooms
(Full, part, none)
Type of Roofing
Carport Attached Pncate Detat ched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
nd water supply lines.
NORTH
H
SOUTH
I hereby certify infor tion submitted
s shown.
Owner or A rnt
is correct and there are, no
REQUIRED
Plumbing Permit 'veg"ei
tw Heating Permit
RP
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked U
Plans Mailed
other structres ovate on this property except
//-/7 7/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS 1S NOT A PERMIT.
Your street address will be
Sewage Permit
Remarks
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
umber tied Building Permi4 =,-
Form 523 Bldg. Code