1971, 10-18 Permit App: J1023 Storage Bldg• •
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 most 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 1s 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
Name of Owner
Architect
ddress / Phone
Phone Engineer Phone
Contractor .ff p 4gvt_o ' Address
W Ph.ne
Legal Description of Proper t- (0 ve complete description from deed, tax receipt, etc.)
DESCR /• ION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone 3
Size of Lot X / 6 o1 Sewage System / ) v �j Stories
Const Dimensions ! U % I \ Total Sq Ft / Valuation fin,
(Frame, concrete, brick, etc.
Rooms
Baths
Basement Foundation Const Chimney Fireplace
// n(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext Finish Int. Wall Finish
No. of Units Bedrooms
Use of Bldg.
120
Curage or Carport Attached Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location 01 sewage sys
tem and water supply lines.
NORTH
SOUTH
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
I hereby certify information submitte.�'s corr; t and there are no other structures located on this .roperty except
as own
Owner or A
Date
A LAND USE OR STRUCTURE ' ERMIT MUST BE • N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number Issued
Remarks
Building Permit
to;)
e zone 1s __LC
Receipt 3 p,
Form 523 Bldg. Code