1970, 09-15 Permit App: I3649 BarnCounty of Spokane, Washington
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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 erecta 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 s,glneer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -SACK 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. Paints 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.
I,,f -3537
APPLICANT FILL IN BELOW THIS LINE
Address 100.0 4 €' y »' e Phone 10A- g-/7Gy
Architect /U DA)F Phone Engineer Phone
Contractor / Address Phone
Legalescr int ion of property (Give complete description from deed, tax receipt, etc. )
L 6 1 P&4u`-/eaelSA 14&r1AS o r'i I- nitni. —/ C3 3A
Name of owner' 0 t l :4L S%20ell A%
DESCRIPTION OF WORK New
Size of Lot
Const. Erxxim e..- Dimensions
(Frame, concrete, brick, etc.)
t- Addition Remodel Moving Bldg. Zone / Fire Zone
App- a%. aepas Sewage System
......,,,[�� ��, ��'��� ``` Win'/ Stories �[ (�L
.z2 X xi (J /7 Total Sq Ft. / �'9SRianon 3‘W.”
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full, part, none) // (Kind) (Number)
Heat. System Type of Roofing$�Ext. Finish !-- // / Int. Wall Finish
Use of Bldg. 93(C)R W No. of Units Bedrooms
Garage or Carport Attached Private Detatched
rwl 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 acd streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
NORTH
N
H
I hereby cert
as shown.
SOUTH
Y
Plumbing Permit
m Fleeting Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submitted is correct and there are no other structures located on this property except
ner or Agent Date
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
DO NOT WRITE BELOW THIS LINE
Building Perm
e zone Is
Receipt -7