1971, 03-10 Permit App: I3828 Demolition BarnCounty 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 47235.
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 UNE
Name of Owner �L ��'�tit l -tit ice_ .. / f (�,✓� Address ,� ° �,°::p° r.i' one
Architect Phone v. Engineer JPhone
Contractor Address JJJJ Phone
Legal D cription of Property (Give complete description from deed, tax receipt, etc.) /6 S
J 2,:-i
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot
Moving
Const. Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg.
Garage or Carport Attached
Foundation Const
B1
Sewage System —
Total Sq. Ft
Fire Zone
Stories
Valuation
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Ext Finish
Private Detatched
Draw 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 arid streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is4correct and there are no other structures
as hown.
t %,.��`'
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE
6, Date
THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
located on this
property except
DO NOT WRITE BELOW THIS LINE
Your street address will be / c1 0 0
Sewage Permit Number Issued BUp ding P;m
Remarks
X1.2
COMMENCES.
e zone is _� ]
Receipt G ssued
Form S23 Bldg. Code