1971, 02-03 Permit App: I3394 Demolition Mink Shed• •
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.
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 5rrear yard are required.
pertaining to set back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained
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.
r APPLICANT FILL IN BELOW THIS LINE
f,.
/ Phone r /
Name of Owner
ddress �/
Architect ' Phone Engineer Phone
Contractor ��,,,,��. `N- _� .
Address Phone
Legal Description of'Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New
Size of Lot
Addition
Remodel
Moving Bldg. Zone Fire Zone
Sewage System Stories
Total Sq. Ft. Valuation
Const. Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System Type of Roofing
/ YU
Foundation Const Chimney Fireplace
(Kind) (Number)
Ext. Finish Int. Wall Finish
No. of Units Bedrooms
Use of Bldg.
aragp or Carport Attached
Private Detatched
Drew sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
To
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby„certify information submitted is correct and there are no other structures
as shown.
located qn this property except
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$ /,•a''
C,= c
Sewage Permit Number Issued
Remarks
The zon is
Building Permit Receipt,/312g , Issued
• c_
33�q
Form 523 Bldg. Code