1972, 07-03 Permit App: J3636 DeckCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LANG! 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 aW
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 U G�
Name of One ddress % Phone WJ AZS %?s-3
Architect Phone Engineer Phone
Contractor
Address Phone
'.r�/L'��!�: �� 7 e 1j
Legal Description of Property (Give, comp�ete(description frgm 4eed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition _/—'- Remodel Moving Bldg. Zone ___/—Fire Zone
Size of t / a 4.k /�n�, ' Sewage System - Stories
Const. Dimensions i' X �-- Total Sq. Ft. _/ Valuation
(Frame, concrete, brick, etc.) 1 Fireplace
Rooms — Baths Basement Foundation Const. ,, ,r A6 ' Chimney
(Full, part,none) (Kind) (Number)
Heat. System Type of Roofin Ext. Finish ' Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached Private Detatched
EPLOT 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. State License No.
NORTH
Ind. Ins. Acct. No.
REQUIRED
k_\ Plumbing Permit
n� Heating Permit
Sewage Permit
4- ADD Plans Received
�d h Plans Checked l�
- - Z Plans Returned Y'
Plans Picked Up
D Plans Mailed
SOUTH
I hereby rt' information submitted is correct and there are no other structures located on this property except
as shown. �'I" � ��
Awner 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
'-
'Itke
Your street address will be a zone is,
Sewage Permit Number Issued Building Perm^ Receipt QIssued
Remarks
Form 523 Bldg. Code