1972, 07-28 Permit App: J3885 BarnCounty of Spokane, Wllashingtoi
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
G ENERAL REQUIREMENTS
PERMIT FEE.. .1
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building o 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.
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.
Rnd
ents
which areVenforce enforceable throughrs civiluld check action. Countysions Officialsf ocanants or not bringdactionntosenforcemcovenantsing with the land
or dedications.
AP' LICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Address
Phone Engineer
Address
description from eed, tax receipt, etc.)
/'L r5—FS(c% 1 y 0-t N iZ 0
Legal Descriptionfl Pr: erty (Give complete
Phone
Phone /(p **1f/64 -QRZ/
cxo _
o� W 6/00' o4 S//2.
r�
W `�Y 0-1C /1((.4.)
DESCRIPTION OF WORK: New__ Addition Remodel
Size of Lot LC P 2 2. --LA'S r
Const. �'� ,.Dimensions Q X � C"y
(Fram ncrete, brick, etc.)
Rooms— Baths Basement' Fou d t' C t
(Full, part, none)
Heat. System,-- o 'Hype of Roofing
_ .a.601
y5E / t/ ap �.� a
Moving Bldg. Zone Fire Zone 3
Sewage System �-�Y 1 CT��1 Stone
Total Sq. Ft. / 5>00 OS/Ye/Valuation 93� 0 -re
r- Fireplace
n a son Const.
Chimney (Kind) (Number)
-Ext. Finish .Int. Wall Finish
Use of Bldg. Nb. of Units _Bedrooms
Garage or Carport Attached Private Detatched
PLOT PLAN
Drw 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.
NORTH
t,� ci
✓ t
Ih
as shown.
SOUTH
REQUIRED
Plumbing Permit
m Heating Permit
gn
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
y certify information submitd is correct and there are no other structures located on this property except
9ri
A LA
THIS
Owner or Agent Date
D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
NOT WRITE BELOW THIS LINE
•
Form 523 Blda_ Cedes