1971, 04-14 Permit App: I4038 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 15
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.
Name of Owne
Architect .� n ��
Contractor �c2,[r7•
Legal Descripti of Property (Give complete
A PLI > NT FILL IN BELOW THIS
e) / ae,,.
Phone
ddress
_Engineer
Address
9 9aza6
Phon
Phone
Phone
description from deed, tax receipt, etc.)
DESCRIPTION OF
Size . Lo
Cons
ORK: New S AdAddition
Remodel
Moving
i`IL
(Fra co e e
Rooms
Heat. System
Use of Bldg.
Garage or Carport
Baths
pilighlflleikons
ck, etc.)
/ Basement
'/ (Full, part, none)
Ty.e of Roofing
49'
;,sn
Foundation Const
Sewage Sy t
Total Sq Ft
B1djZone 1—
Fire Zone
Sto»s
307,7,
Valuatio
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms __..
Private Dotatehed
Ext Finish
ached
( 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.
Rro
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
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 this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
T WRIT BELOW THIS LINE
Your street address will be
G
%i/
Sewage Permit Number Issued Buildi ermit
Remarks U n
e zone 1s
ceipt
—
.�.
Ti I -sued
Form 523 Bldg. Code
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164'
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Rro
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
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 this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
T WRIT BELOW THIS LINE
Your street address will be
G
%i/
Sewage Permit Number Issued Buildi ermit
Remarks U n
e zone 1s
ceipt
—
.�.
Ti I -sued
Form 523 Bldg. Code
r,