1972, 06-12 Permit App: J3641 Storage Shed 0 • ,1111111•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT' do
GENERAL REQUIREMENTS PERMIT FEE `3,-
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 47.235.
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 l� i -s.9cd•l(o
Name of Owner 1,(_l' .�2- L/1/ Address �7 L. —'..,..i_ y� Phone 9.251-,"5/97
Architect Phone Engineer Phone
Contractor4,,,,,,,a__ Address Phone
Legal Qescription of Property (Give col.s ete de.cription frim dee', tax re eipt, etc.) , ,r. 1/..•'S',�.- -_/e,/:�
" i
' A: _ . Ai , .. _ .1 . _ r./ ‘,5_ Ii E ,'
DESCRIPTION OF WORK:New-_ .Addition Remodel Moving Bldg.Zone / Fire Zone
Size of 2l l.,ot S 'k/.-Cl' Sewage Systeme Stops .lam_
Const. _ALL Dimensions /Ci X Total Sq. Ft. /G- Valuation 2 tt D
(Frame,concrete,brick,etc.)
Rooms / Baths Basement Foundation Const. Chimney Fireplace"—'
(Full, part, none) (Kind) (Number)
Heat. System Type.f oofin e-41-74,112_.
ry Ext. Finish I7// Int. Wall Finish `
Use of Bldg. l .Q. '‘-.41.• L — /Q1,([i �G
, t�'7� No. of Units Bedrooms
Garage or Carport Attached ` (� _ Private Detatched
0 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 State License No.
A (/. S ,�- o--.muc.-m.Q�L
I:.E, Ind. Ins. Acct. No.
6
-----
fi7s7,.VCz REQUIRED
XAS'iDRNCB
Plumbing Permit
r
m Heating Permit
m
ut - -_ tm Sewage Permit
—i ----_- -I
Plans Received
//// Plans Checked
PIYDPVSrc P .5 Plans Returned
,174RACc�' srNEo--j Plans Picked Up
mil ---ik „ Plans Mailed
•SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. ai�
(�'Yi.G mss,.,.. ')-
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE --.
Your street address will be '89 C. J --....e. _r 'e zone i�„�� cid���L 51 etc
Sewage Permit Number Issued Building Perm *•ceipt • Issued
Remarks 141115 /
—
Form 523 Bldg. Code
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•
t sok r' County
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Fp 1 ' 1 is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
Dis r ict
June .., 1 72.
Co.. ;'... Cuckm .ir
E. -.;.c2. is ivcrs:CIG •
Cry_:rcros, t:asht. x/ 016
RE: r- oposcd s tor:: e s;te
Dear Mr. -
According to our files the above construction will interfere
witthe septic tank and drainfieid sewage disposal arrangement,
there ore, no building permit will be released until our depart-
ment is notified (via revised plot plans and/or sewage permit)
of a relocation of the proposed building or the sewage disposal
system.
Your cooperation in this matter will be appreciated.
•
Sincerely /
•Dennis K. Kroll , R.S.
Environmental Health Specialist
Spc;<ane County Health District
DKK/aih
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Feroin
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Administration SCH0-ENY-02Laboratory
456-3630 456-3667
Clinic Personal Health
456-3640 E. 0. PLOEGER, M.D., M.P.H., Director 456-3613
Environmental Health Vital Statistics
466-2340 North 819 Jefferson Street, Spokane, Washington 99201 456-3670