1971, 09-13 Permit App: J0628 Remodel Barn• •
County of Spokane. Washingtoea
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 soy
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 cork 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 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 16 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
Name of Owner J— -- -.. _ Address /7„:-L)/791A.0 phone 2��6
Architect Phone EngineerPhone
Contractor Address .--,4/L, fc(9Q /() Phone
Legal Description of Property
(Give complete description from deed, tax receipt, etc.) 07-“7.3-05-10
DESCRIPTION OF WORK: New ' Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 3Q, Sewage System Stories
p UO
Const Dimensions ?OX36 Total Sq. Ft. ! ®O Valuation �0 0
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundatioh Const Chimney Fireplace
(Full, part, none) (Kind) (Number)
Type of
Heat. System
Use of Bldg.
Garage or Carport Attach
J
Ext Finish — Int Wall Finish
No. of Units Bedrooms
PLOT PLAN
aw sketch with ti imensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and -streets; (5) dimensions of buildings; (6) location of sewage sys
em and water supply lines.
Private Detatched
rn
rn
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
• Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information s- bmitted is correct and there are no other structures located o• this pr..erty except
as shown.
Z,
Owner or Agent - •
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
. THIS 15 NOT A PERMIT.
DO NOT BELOW THIS LINE
Your street address will be -62/ 7? -7-0
Sewage Permit Number Issued
Remarks
Building m
e zone is
Receipt
I Form 523 Bldg. Coda