1971, 05-03 Permit App: I4241 Residence0 0
County Spokane, of S okaneWashington 1!55-
•
9
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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.
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 ® r -In ii
Name of Owner ddress
Architect Phone Engineer
Contractor Address
Legal Description of Property ( ive co plet description from deed,
17 <- 4- 4- --0 9 .r -_ i- d f 9
DESCRIPTION OF WORK: New
Size of Lo
Con Dimensions
(Fra concrete, brick/,Q )
Roo s� Baths /� L.f�Basen
Heat. System
Use of Bldg.
ipt
Addition Remodel Moving
SCS Sewage Sysl
Total Sq. Ft.
n Fou ation Const. a
t, one)
of Roofin Ext. Fini
Phone
Phone
Zone Fire Zone
j
Stories
No.
Private Detatche
l
ts B oace
(iKind) (Number)
'I Finis
noms
V 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 line sr treets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. /T 1
NORTH
0
SOUTH 0`11
I hereby certify informationsub tted is correct
as shown.
State License No.
ns. '*Acct. No.
R
Plumbing Perm'
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
r w �
-71
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOT A PERMIT.
Date
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
The zone
Receipt ued