1971, 08-05 Permit App: J0273 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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 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.
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 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
e4
Name of Owner
ddress
Architect Phone Engineer
Contractor
Legal escription of Propert
Address
Phone II/` 77"S
Phone
Phone
(Give complete description_from deed, tax receipt, etc. )1 `4' IVC',
3 ' 727`
— 30c-1?
DESCRIPTION OF WORK: New
Size of Lot
Const Dimensions
(Fra e, concrete, brick, etc.)
Rooms Baths
Basement
(F 11, part, none) �— (Kind)
Heat. Syste Type of Roofing / Ext Finish ... ��—� Int. Wall Finish
Use of Bldg.
Addition
Remodel Moving Bldg. Zone / Fire Zone/
Sewages
System Stori
Total Sq. Ft C Valuatio G' C',
Foundation ConstChimney Fireplace
umber)
No. of Units Bedrooms
Garage or Car�pport/Attached Private Detatched
c.Pj�/ 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.
m
v1
NORTH
SOUTH
I hereby cert information submi
as shown.
State Licens
o.
Ind. Ins. Acct. o.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ed is correct and there are no other structures located on this pro
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
erty except
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE
/-20s
ELOW THIS LINE
Building Permit
e zone isV-
, Receipt
Form 523 Blda. Cede