1971, 07-07 Permit App: I4967 Shed40) 101
County of Spokane. Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ¶ e
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 47-255.
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 LINE
Name of OwnerAddress
Architect Phone Engineer
Address
Contractor
Legal Description of Property (Give complete description from deed,
/bS'f`E-b3fJ'
Phone
Phone
Phone
DESCRIPTION OF WORK: New
Bldg. Zn—_4_F. e Zn.
Construction
Rooms
Garage Attached
Use of Bldg
(FRAME
Addit ion
of Lot
imensions
lUX J(.(�
Basement Foundation Con§t.
Remodel Moving
Sewage System Stories
TANK, ETC.)
Valuation
�(Jj
Total Sq. F't. _
(FULL,PART,NONE)
Chimney Fireplace__ Htg. Sys Fuel
(KIND( (W.,AIR,STEAM,ETC.)
Type of Roofing Ext. Finish Int. WaIl Finish
(COMPOSITION,SHINGLE,ETC.) (SH.,METAL,SHAKE) (PLASTER,DRYWALL.ETC.)
No. of Families Miscellaneous
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.
I h eby certify
as show
j
informat'
Owner or Agent
State License No.
Ino. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
SOUTH
submit i§ co�� there are no other structures
Date
located on this property except
7/?77/
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
e zone is
Receipt 56 -69 -issued
Form 523 Bldg. Code