1972, 08-04 Permit App: J3973 Deck01, •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
kdlTerliuse ostructure
scyucResolution
erect
building
structure
the
kinorr alter any buldingorstructurealreadyereted, ortohangealanduse.Constructionmast conform with
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 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 •fore- .�•enant or dedications.
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APPLICANT FILL 111 BELOW T
Name of Ow ��/. �. L��. •R ,.Address
Architect / Phone Engineer
Contractor Address
egal D
ription of
iS
Pr
perty (Give
•Tete
II II.
one
Phone
Phone
d, tax recs}pt, etc.)
(:)8,5-61�(-
a.
e _.0 ..11/i J 4111M1Pi'
DESCRIPTION OF WORK: New
Size of L
C
2(?
(Fra
imensions
Addition
concrete, brick, etc.) •
Rooms Baths
Heat. System
Use of Bldg.
Remodel
Moving
Sewage System
Total Sq. Ft.
Bldg. Zone __�-- Fire Zone t 3
Basement Foundation Const
(Full, part, nine)
ype ./Roofing
Ext.
Garage or Carport Attached
Storie
tion
Valua
Chimney Fireplace
(Kind) (Number)
inish Int. Wall Finish
No. of Units Bedrooms
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.
NORTH
as shown.
I hereby certify information
170
ted is correct and there are no other structures located on this property except
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
M Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner o :ent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
D NOTE BELOW THIS UNE
./ Permd,
IM/Vk
.e zone
Receipt
Issued
Form 523 Blda. Code