1971, 05-12 Permit App: I4341 Remodel•
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 : ructure of any
kind or alter any building or structure already erected, or to change a land use. Construction m': 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.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enfo1e through civil action. County Officials can not bring action to enforce covenants or dedications.
APP ICAN FILL IN BELOW T IS LI
Name of Own
Architect
Contractor
Legal Description of Property (Give
ddress --: one,/5—
Phone Engineer Phone
Address Phone
complete ascription from , tax recei
�
�4 42 U
7
DESCRIPTION OF WORK: New Addition Remodel ving Bldg. Zone / Fire Zone '"?
Sewage System Sto s / /7
VGPO Valuati !/,1Z
a .2 .,I- i-.3
ncrete, brick, etc.)
Heat. System
Use of Bldg.
Garage ached
Total Sq. Ft
Basement Foundation Const "Chimney Fireplace
(Full, part, none) (Kind) (Number)
Type of Roofing Ext Finish Int. Wall Finish
AN
No. of Units Bedrooms
Private Detatched
Draw sketch with dimension showing: (1) property lines; (2) street or road locations; (3) location of existing and
/.n of sewage sys-
proposed buildings; (4) distance to property lipEs and stre� s• (5) mansions ofldin • (6cp
tem and water supply lines. i ,.
m
N
NORTH
I hereby certify infor
as shown.
ion submitted is correct
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
Owner or Agent
7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
DO NOT WRITE BELOW THIS LINE
Building Permit
_The zone is
Receipt
ssued
Remarks 1!
Form 523 Bldg. Code