1973, 03-27 Permit App: K961 Demo Shed(
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.
WATER. Water supply must be approved by the CountyandState Health Departments. Where work onwater 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 tbestructure 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.
APPLICANT FILL IN BELOW THIS LINE
J 1
Name of Owner Jt,, .! . e; .f ddressv%D.� 041.2 ? ,c-nrnJ /1phone —%�'/ -�dn4(_,
Architect Phone
Contractor
Engineer
Address
Legal Description Property (Give complete degcr iDt ioTh J) 7-oLm deed, receipt, etc.)it
Phone
Phone
X353 / --ASOr
133/—
DESCRIPTION OF WORK New Additioy Remodel Moving Bldg. Zone / - Fire Zone 7
Size of Lot r+/ / O Or >- / - " Sewage,System Storie
Const. Dimensions -/ 5— i< ,O.L- 0' Total Sq. Ft. r3 0
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System - Type of ofi�n/g Ext Finish Int Wall Finish
Use of Bldg.tl0-�u�C.Lti(ws No. of Units Bedrooms
Valuation�r
Garage or Carport Attached
PLOT PLAN
Private Det niched
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.
NORTH
n.
s
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
. I hereby certify infor ion submitted is correc' and there are no other structures located on this property except
as shown.
- c2-7-7,
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 THIS LINE
Your street address will be
Sewage Permit Number Is dd Building Permit /.CT,&J Receipt
Remarks / \
°O `?T Cl %;,K AC< --..t _yam The zone is
Issued
Form 523 Bldg. Code