1974, 05-21 Permit App J4698 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
a)/
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. 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. 45-13.3 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
Name of Owner ��f �y���, ��� � ,�.Pddress Phone
Architect Address Phone
Address ) Phone
S Address C_/ 7/ f `7 —yam "_ Phone
Engineer
Contracto rd i-L
Legal Description of Prop
.? z
y (Give complete description from deed, tax receipt, etc )
f.
O. S.--
DESCRIPTION OF WORK: New ✓Addition Remodel
Size of Lot x/ /' 6. K Z 7 2 x
Stories .04- Dimensions / 9 X /
Rooms Baths easement
(Full, part, none)
Heat. System
Use of Bldg.
oundation Const
Type of Roofing Ext.
etch with dimensions showing: (1)
ed buildings; (4) distance to property
and water supply lines.
I hereby
as shown.
A LAND
THIS IS
NORTH
SOUTH
motion submi
Owner of Agent
PLOT
Total
Finish
PLAN
1 r .�rf a rr /
Moving Bldg. Zone / Fire Zone
l7 �. Sewage System �S/ • -S/j ons .0B�/,t/
Sq Ft Valuation i'V' d
Chimney Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units _ Bedrooms
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Stcteeren e No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ed is correct and there are no other structures located on s prope
Date
E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A PERMIT. �?
y except
7
O NOT WRITE BELOW THIS LINE
Your reet address will a � • The zone is
Sewag Permit Number Issued Building Permit fir �/ (/� Receipt(o �? / Issued y '
Remarks vL
Form 523 Bldg. Code