1972, 03-06 Permit App: J2061 Enclose BreezewayCounty of Spokane, 1Rlashingtoi
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. .
WATER. Water supply must be approved by the County and State Health Departments. Where work oneater 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 acid 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 covets or dedications.
yoa7
one Lo 6 -027/
AP LICANT FILL 11 BE .THIS LINE
Name of Owner n Address �� 0
Architect Phone Engineer - Phone
Contractor Address Phone
Legal Description of Property ( ive
GB, sc.S
plete description from deed, to rec, pt, etc.)
-iinit,%
DESCRIPTION OF WORK: New r.----- dition Remodel
Size of L 70 At (S6,
Co mensions /.� 4' f 7'z.
(Fra , concrete, brick, etc.)
Roo s Baths Basement Foundation Const Chimney
(Full, part, none)
Heat. System Type of Roofing Ext. Finish
Moving Bldg. Zone / Fire Zone
Sewage System S ries
Total Sq Ft. /O ,2Val�t t n 4f -c)
Fireplace
(Kind) • (Number)
Int. Wall Finish
Use of Bldg. No. of Units Bediooms
Garage or Carport Attached _
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location oftexisting 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
NORTH
I hereby cer
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n r Heating Permit
• Sewage Permit
.n
H
Plans Received _
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
information submitted is,gorrect and there are no other structures locatedd/7 on this property except
Pile^�. i
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW T IS LINE
Your street address will Delp
Sewage Permit Number
Remarks
0
Issued
e zone
Building Penni , Receipt Issued
Form 523 Bldg. Code