1976, 08-26 Permit App: L5222 Storage Shed• i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811
JEFFERSON,
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 ally
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.
not be performed until staked by County Road Department and work must be
COUNTY ROADS. Work on street right-of-way may
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)laud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner �"zj Address -'
/! /Cs Phone V• -L
Address Phone
Architect "�; �� �_, Phone
Engineer Address
i ��� c f Phone
Contractor �-+` ��
f �i �i - Address ._ 1
Legal Descri tion of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire,Zone
-, ,� Sewage System �� '� onst: � i
Size of Lot FFr., Conc., Br., etcJ.
Stories _Dimensions L X T,ota( Sq. Ft. Valuation .,,6_
Rooms �— Baths Basement Foundation Const."''� (,f !� ih Chimney N + Fireplace
Full, part, none) (Kind) iNumber
Heat. System /Po1 �'; Type of,Roofing„ � ' ,ti y%� Ext. Finish
ILL ti-_�4 ,f.^ Int. Wall Finish V,-"
Use of Bldg. a C + ; r n- � No. of Units _ Bedrooms
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. +
State License No.
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
a Sewage Permit
N
�1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
11
I hereby certify information submit t d''is correct -and there are no other structures located on this property except
as shown..
Owner or Agent\�� Date
A LAND USE OR STRUCTURE PERMIT MUST BEAN THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ��r ' -l- ���, �� - �� " The zone i4 / ss' �l
Sewage Permit Number Issued Building Permit - Receipt Issued
Remarks T
b
�
,i
�'1
ti 1
~'h
SOUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
a Sewage Permit
N
�1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
11
I hereby certify information submit t d''is correct -and there are no other structures located on this property except
as shown..
Owner or Agent\�� Date
A LAND USE OR STRUCTURE PERMIT MUST BEAN THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ��r ' -l- ���, �� - �� " The zone i4 / ss' �l
Sewage Permit Number Issued Building Permit - Receipt Issued
Remarks T