1971, 09-28 Permit App J0873 BarnCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1 00
GENERAL REQUIREMENTS PERMIT FEE 12'
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 mast 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.
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.
1 � / APPLICANT FILL IN BELOW THIS LINE
Name of Owner ('C . - � T ✓ �hL Address S • 4 5 0 5 ) & - .- - Phone tJ 4
Architect ✓ Phone Engineer Phone
Address Phone
Contractor 2'
Legal Description of Property (Give complete description
1--7`- 7 OK ?
5 4• j sod" k-511Pg fa).
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot /'5?(
Const.�,�h/1'IP� Dimensions 25- ?< 2-
(Frame, concrete, brick, etc.)
Rooms 3 Baths Basement Foundation
(Full, part, none)
Heat. System Type of Roofing 54e lC ce—
Use of Bldg. if-fo►^ ' 314-r/4/
Garage or Carport Attached
0,5-1-042 -02 7
from deed,
Remodel
(5 L
tax receipt, etc.)
Moving Bldg. Zone
Sewage System .1-��A
Total Sq. Ft. S'-S"n
Fire Zone
3
Stories 1
Valuation ,� 5-0c-D , p"
Const. e-fiAJGrP l .- Chimney r Fireplace
/} (Kind) (Number)
Ext. Finish /�ea�- 2- Int. Wall Finish
No. of Units / Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
I hereby certif
as shown.
4,
SOUTH
State License No.
223 -Ol - ioo73
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 40A
pQ n+
N Sewage Permit AJ/ .
tion submitted is
correct and there
1
Heating Permit /1/7k)
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
691/hAl;ffl
are no other structures located on this property except
Owner or tlgent J/ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
- 2-r--71
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Building Permit
e zone is
Receipt
73 )
Issued
Form 523 Bldg. Code