1972, 06-26 Permit App: J3572 Demot •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
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 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 -RACK 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
APP CANT FILL IN BEL. THIS LINE
ddreas ONIM:a'PAB- '''�• _
ne Engineer
Architect
Contractor . 2-'O-7 e .
Address
Legal Description of Propert (Give complete descript on from dee
i
x r eipt, e
O
Phone
Phone
Phone
DESCRIPTION OF WORK: New Addition
Size of L p>-.,2. fl A /( 7
Cons Dimensions • / 0 _)( 61 f Total Sq. Ft
(Fra concrete, brick, etc.)
'
Rooms j Baths Basement Foundation Const Chimney Fireplace
(Kind) , (Number)
Ext. Finish Int. Wall Finish
Remodel
Moving Bldg. Zone
Sewage System
Fire Zone
Sto s
Valuati
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg. E) 2 4 J
Garage or Carport Attached
No. of Units Bedrooms
V 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
vs
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
M
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information subm tte• is correct and there are no other structures located on this property except
as shown/. / / /���
�0 - *4 . % r v/,
Ownerlor Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO N T WR _ E BELOW THIS LINE
Your street address will
Sewage Permit Number Issued
Remarks
e zone i
Builng Perai 5 7 _-Receipt ."' Issued
Form 523 Bldg. Code