1975, 11-06 Permit App: L2013 Storage•
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT )/,-
GENERAL REQUIREMENTS PERMIT FEE
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PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of MAY
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 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.
YILtir_iD APPLICANT FILL IN BELOW THIS LINE
Name of Owner _118,21S/in.iiiW Address
Architect Address
Engineer f Address
Contractor �'1(r lA,/ 7 Cal 4E1 r te4 Address A/ 2070 FA Wei? Phone cr2+-C-9/Yee
Legal Des ription of Property (Give domplete descri tion from deed, tax receipt etc I
?"', 24M D 704,1 61/ sw 04 • w0:2 s£ /'/ [A -t-
F,200' I a)aiew' 7' s/on' 7 ,54) 4.,/
''hone 2z% - y&Df
Phone
Phone
DESCRIPTION OF WORK: New .._i_ Addition Remodel Moving — Bldg. Zone —O— Fire Zone
Size of Lot ACCP Aor--- Sewage System const. le,8 Q
_� U Fr., Conc., Br., etc.)
Stories t Dimensions ?,Q X Pbri j� Tot_aLSq.. Ft Valuation 0327
Rooms - Baths Basement Foundation Const C'nArI'_t u ' �0�( Chimney Fireplace
Fu I, part, none) ,/�, g(t (Kind) (Number
Heat. System Type off Roofing 7' I Ext Finish r,�f�Al; Int Wall Finish
Use of Bldg. r SYaw/..z No of Units _ Bedrooms
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
I hereby
as shown.
y info
Awn
SOUTH U• U., I NI al
State License No.
Ind. Ins, Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
on submitted is correct and there are no other structures located on this property except
er or Agen
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE / / _ P J
Your street address will be •The zone is 1 vYl� 4
Sewage Permit Number Issued Building Permit 7 (.i' Receipt /f/C0 Issued
Remarks
Form 523 Bldg. Code