1975, 10-22 Permit App: L1886 Barn• 1
Canty of Spokane, Was*igton
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 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. Rater 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 an 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 OP 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 en f ' ceable through civil action. County Officials can not bring action to enforce covenants or dedication.
APPLICANT FILL IN BELOW THIS LINE
970(— Ff-.71% Phone ,,_F-636 r
Name of Owne
Architect Address Phone
Engineer
Contracts G-'r'✓`�'�
Lsgal Description of Props Give complete description from deed. taxrc�t etc )
1 a sl
Address
Address
1 D- 0 C Phone
Address I Phone
—O
DESCRIPTION OF WORK: New AAiddition Remodel
Size of Lot //LGG> A--, t� �3-Oo)
.36 )<3Y
Stories r Dimensions sr __Baths Basement Fe d. ion C st-
Heal Sy wan (Full. part. none
Type of Roofin Ext. Finish
Use of Bldg.
Moving B one / Fire Zone
Sewage System // °, Co /AS etc.I
Total Sq Ft <b Co
himney Fireplace -
(Kind)
Int Wall Finish
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.
GCl 4 /&SORT
— COMMERCIAL
I hereb
as shown.
State Ltceneq No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit �(/ �'-'�--
w Heating Permit
Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
tify intoFination submitted is correct and there are no other structures located on this property except
/� — -.7— 7.s
Owner or Agent Date
A LAND U OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS N A PERMIT.
DO NOT WRITEBELOWTHIS LINE
Your street address will be %7,(7G P % Cf/ _ The awe is
Sewage Permit Number Issued Buiid 1sg Permi / Receipt E) �� asued
Remarks
Form 523 Bldg. Code