1972, 07-27 Permit App: J3875 Hay Shed1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201]
- APPLICATION FOR LAND USE OR STRUCTURE PERMIT (/ "
v�
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or ructur f 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.
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 s 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:,fore coy nants or dedications.
PPLICANT All. IH BELOW HIS ll/_NE /riBer ° -
Name of Owner
Architect ,��i_,.,
Contractor
ddress
Phone Engineer
Address
Legal Description of operty (Give complete
/" 4 1/
descr
Phone �c" 3- `'2°?
Phone
Phone
ram deed, tax rece'pt etc.) ( S,(o? 90Q3
DESCRIPTION OF WORK: New z. -----Addition Remodel Moving Bldg. Zone /
Fire Zone b -
Size of it / _ e e. �w Sewage System Stori
Co • <' Dimensions
(Fr Ade, concrete, brick, etc.)
Ro. s • Batt hs Basement Foundation Const Ll!QO�C(/ Chimney
Fireplace
(Full, part, none) (Kind) (Number)
Heat. System a Roofing Ext. nish Int. Wall Finish
Use of Bldg. •.I /� 'Q^ "`--'/`—Z /d.% No. of Units Bedrooms
Garage or Carport Attached / Private Detntehed
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of•exist ing 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 -
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
• Heating Permit
TIP Sewage Permit
Plans Received
I hereby certify informat
as shown
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed -
SOUTH
on ubmitt correct and there are no other structures located on this property except
Owner or Agot Date
A LAND/USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISi'NOT A PERMIT.
DO NOT WRIT • W THIS LINE
Your street address will be'.e zone is
Sewage Permit Number Issued Building a mit /Recefp Issued
RemarksOr
Form 523 Bldg. Code