1971, 11-08 Permit App J1245 Trailer• •
County of Spokane, Washington
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 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 car. not bring action to enforce covenants or dedications.
1
me of Owner
Architect
Contractor
A P WANT Fill. IN BELOW THIS LINE
( i�tGlT! Address '2J S 3
Phone _Engineer
Address
0
Phone Lit iL 6—/'2
Phone
Phone
L Description of Property (Give c mplete description from deed, tax receipt, etc.)
/
DESCRIPTION OF WORK: New
Addition
Size of Lot off.€ 3
Const y1)-16 . '( Dimensions l "-co. cJ
(Frame, concrete, brick, etc.)
Rooms Baths I Basement Foundation Const
(Full, part, none)
Remodel
Heat. System Type of Roofing
Use of Bld;
Garage or Carport Attached
Ext Finish
Moving Bldg. Zone / Fire Zone
Sewage System y St--`
TQQotal��l1 Ft. /7 y})uatio
Chimney Fireplace
(Kind)
Int. Wall Finish
5
(Number)
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
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
te and water supply lines.
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perinit
Heating Permit
p, Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certify information submitted is correct and there are no other structures locate on this property except
as show
Ltritortare
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIO COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will ben . t
Sewage Permit Number
Remarks
cam, tom QI-'
e zone is C
Receipt. T sued
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