1975, 08-13 Permit App: L1167 Demolition Storage Shed• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 47235.
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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LI
Name of Owner
Architect
Enginee
Contractor
Legal
AIEW
Descnpti . of Property (Give e description fro
Address
Address
Address
Address
"i
,f4M�`1l1i�
a-�
i
Phone
Phone
Phone
Phone
d, tax receipt, etc 1
iceS--
b
lav
i
DESCRIPTION OF WORK: New
Addition
Size of Lot
Remodel
Moving
Sewage System Const.
i0-0 ,/a -v (Fr., C
Stories _Dimension(�_./ 7c .1-70• (/ i .r i.C: j Total Sq. Ft i ,rn / 5Z)Valua
Rooms BathsBasement Foundation Const Chimney Fireplace
Full, part, none) (Kind) (Number
Heat. System ` Type of Roofin xt. Finish Int. Wall Finish
Use of Bldg. k /QrfLCZ��,c� No. of Units _ Bedrooms
Bldg. Zone
/ Fire Zooe
Ir etc.)
2 este)
/4'9 2-1--012'
PLOT PLAN
property lines; (2) street or road locations•
lines and streets; (5) dimensions of buil ' gs; (6) location of sewage
rnt7
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
location of ex
and
RESIDENTIAL — COMMERCIAI,r
m
SOUTH
I hereby certify infortion submitt
as shown.
ner or Agent
s correc
K—_______
REQUIRED
State License No.
Ind. Ins. Acct. No.
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
located on this property except
- 7J -
DO NOT W
Your street address will be
6 -co 7
Sewage Permit Number Issued
Remarks
TE BELOW_,THIS LINE
7 The zone is
Building Permit I. )( 10 Receipt Qo2l(, Issue
Form 523 Bldg. Code