1974, 02-01 Permit App: K3565 Addition to BarnCounty of Spokane® Washington
BUILDING, CODES DEPARTMENT, COURTHOUSE, SPOT{ANE, WASHINGTON 99409
APPLICATION FOR LAN® USE OR STRICTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ------______________________
PER.MIT 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.
MOPING 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.
I „ APPLICANT FILL IN BELOW THIS LINE
Name of Owner-
Architect—
Contractor
wner_ArchitectContractor
Legal Descript
Phone
of Property (Give comeeser
i .0 0 q p d
ress C' S ✓ lv_ j% Phone
ineer P/� r �� qCI a 3% Phone q S-6 J 6
s Phone
from d ed, tax r ceipt, etc.)
2-1
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot -L-"��
Sewage System Stories
Const.. Dimensions �� Total Sq. Ft. Valuation
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System_ Typ of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. - -= No. of Units Bedrooms
Garage or Carpo Attached LL_�. , rivate Detatched
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.
NORTH State License No.
( ) I I Ind. Ins. Acct. No.
Sa
9`1_
V
a7 --�
fi � .YA
SOUTH
I hereby certify information submitted is correct and there are no other structures loca
as, shown,_.,, T e A
V� r
pro thi pro e t except
1__1i1
r Ov(ner or Agent Date / I /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be�
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone amiss �/
ReceiptegU / -F I ued
REQUIRED
M
Plumbing Permit
m
Heating Permit
WSewage
Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures loca
as, shown,_.,, T e A
V� r
pro thi pro e t except
1__1i1
r Ov(ner or Agent Date / I /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be�
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone amiss �/
ReceiptegU / -F I ued