1975, 04-22 Permit App: K7292 Barn County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
A-'6APPLICATION FOR LAND USE OR STRUCTURE PERMIT I '
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 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 it/ �' ', /
Name of Owner . _ rte%-e _Address �=-�- ' /-f. Phone WA__ " /k/�
Architect Address a Phone
Engineer Address Phone
Contractor gj Addresst Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) e.L%k-e1'-/3 ' 3 - ,-`, 77 -/).--5--:2c-,
cVC� i!' v. /0.�' 431� _i- V / T
� L`
)t E- .„Ek A/. J4/ 't C. : '.2' i ,%.i1 r
DESCRIPTION OF WORK: New )( Addition Remodel Moving Bldg. Zone —/ Fire, one
Sewage System onst. - C
Size of Lot /J � :::1-1/ #- kk'-'
�
(Fr., Conc., Br., etc.);,
Stories f Dimensions / 'X .;!-: J y 1Total Sq. Ft. '-' '''-• t Valuation ��" _—
Rooms / Baths Basement "'— Foundation Const.. (- WL c'-7-12 - Chimney Fireplace
(Full, part, none) (Kind) (Number
Heat. System > Type of Roofing vc-%� Ext. Finish 7�-1// Int. Wall Finish
Use of Bldg. 1+//i.,i-=L e..A- 1 Z_ /Z „,tL 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. )
/,[1 NORTH �.�t {1Lf 'l.�L/Cr State License No.
Ind. Ins. Acct. No.
N tit&
REQUIRED
yy ./ Plumbing Permit
r r � r
m mHeating Permit
to4' .6.,i RN H Sewage Permit
Plans Received
/ \ 0
.4,sair,r ' Plans Checked
e, Or c
-- Plans Returned
\/ (,ll �, r Plans Picked Up
u 4i
\\ ;� Plans Mailed
ti
SOUTH`�)A�i Sr_ WAY
I eresby certify informationfitted is correct and there are no other structures located on this property except
as shown Afl _
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 e. /5L C-i i /4,,{;-(zi(..pthc The zone is �( ir�� - 'e—
Sewage Permit Number ued Building'Permitl,1-f),-- Receipt 7 't Issued
Remarks O K ' fir _ i
Form 523 Bldg. Code