1971, 08-02 Permit App: J0268 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
ery
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 an7
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 47.235.
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 car. not bring action to enforce covenants or dedications.
LVc
APPLICANT FILL In BLOW THIS LIN
Name of Owner
ddress
Architect Phone Engineer
Contract or,,.'.v..,«
Le al Desc iption of Property (Give complete description from deed, tax receipt,
I 'fly, l'i 4 -1 ft_. f d -d 2
it
Address
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone t Fire Zone
Size of Lot 9S'fRoa T 373- O -•n i' Sewage System CeP7;;4s TP.v.Y Stor s
P-= r/ -, LI� Valuation 7 g's' �7
Const Dimensions Dimensions � - Total Sq. Ft.
(Frame, concrete, brick, etc.)
Rooms_ Baths .L— Basement Foundat)on Const
(Full, part, none)
Heat. System , Type of Roofing
Use of Bld
Garage or Carport Attached
Chimney Fireplace
(Kind) (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrooms �.c------
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 a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
0>
NORTH
.511
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informationmasubmittedi correct and there are no other structures located qn this property except
as1 shown^ , /9/J ,