1972, 08-04 Permit App: J3972 Deck•
--4 ' ` 9
Counfy of Spokane, Washingfon
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LANDS 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 witb the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 rigbt-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 Eegineer 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 6 P, , �f4Da?
Name of Owner 14 X1, 4 IA-�' naaress-iz - �- r r
Architect Phone Engineer Phone
Contractor Address Pho
Legal Description of Property (Give c Tete d scription fr deed,j'x receipt e c )G j`�
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg Zone Fire Zone -
Size)of J,qt _70 Y / �(J Sewage System Storm
Con3t. I Ci'y Dimensions / Total Sq. F L.
Valuation �.��--
(Frame, concrete, brick, etc.
Rooms Baths Basement st. Foundation Coney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System T e of offing xt. Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage 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
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
license No.
NORTH
I hereby certify
as shown. � //
ion submi
State c
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
e
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 LINT:
Tour street address will be e zone is
Sewage Permit NumberIssued
Build-inj Per Receipt Issued 4_W
Remarks