1973, 06-01 Permit App K1839 ShedCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT e
GENERAL REQUIREMENTS PERMIT FEE ..... ..7. ......_..
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
MATER. 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 dedica ti op�/
APPLICANT FILL IN BELOW THIS LINE LJ9,
Name of Owner Address Zff6l
Phone U%i}-9-4<iO7
Architect_ Phone engineer Phone
Contractor,�yc,�, Address Ph e
Legal Description of Property (G' a complete description fyom deed, Lax receipt,,, to.)
/�Z)T/ 13k Af G/ lVe ,......d 70/e./�.. /. '�/_ .- FJ�_I
DESCRIPTION OF WORK: New __— Addition Remodel MovingBI g. Zone Z— Fire Zone
Size of 3 Sewage System Stories
Const. Dimensions.� Total Sq. Ft. aluation
(Frame, concrete, brick, etc.) �
Rooms oomsI �BathsBasement Foundation Const. �„ /' AChimney Fireplace
(Full, part, none) (Kind)
(Kind) ' (Number)
Heat. System Type of 0 fing Ext. Finish 24itd �nO Int. Wall Finish � n 2
Use of Bldg._ Z 9/� No. of Units Bedrooms
I
Garage or Carport Attached Private Detatehed
0 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
3S,
xisrinl �
M6'01AE Nc tqF 3
SOUTH
PROR65"FD
aN&D -p
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned EA
Plans Picked Up—
Plans
p_Plans Mailed
Ier)g certify information ubmitted is correct and there are no other structures located on this property except
as sh --",/ //
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT. WRITE BELOW THIS LINE
Your street address ■111 be 11
6/! A� ��Q 'rhe zone is 4d,
Remarks
Sewage Permit Number Issued Building Permit R C 7i: Recef t� b / G-
7-TI—rj_ P Issued
Form 523 Bldg. Code