1976, 08-16 Permit App L5107 Hay Shed0
0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /� 0
GENERAL REQUIREMENTS PERMIT FEE ._ .._..1 ..............
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building o structure of mW
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 most be approved by the County and State Health Departments. Where work onwater connections disturbs
the surface, shoulders or ditches of County Roads, permission most 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 -RACK 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
Architect _
Engineer
Contractor
of Property (Give
—Address yso ? N
Address
_ Address
Address
from deed, tax receipt, etc
Phone
Phone
Phone
DESCRIPTION OF WORK: New 1-"� Addition Remodel Moving Bldg. Z ne Fire Zone -�
Size of Lot - _ � o !/ X 8- % ✓ /1
Sewage System Qons[.
Stories _Dimensions , r Val Conc.,
_ Total 9. Ft. ��. Valuation
Rooms _Baths Basement Foundation Const.. Chimney Fireplace
Fu I, part, none (Ki ndl (Number
Heat. System Typ yof Roofing 0 o Ext. Finish 7 Int. Wall Finish
Use of Bldg. / LN� ,. „ - 3 f No. of Units _ Bedrooms
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 Bud streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
I hereby mortify
as shown,
A LAND USE OR STRUT
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldo. Code
SOUTH
WMERCIAL State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures.located on this property except
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
The zone is
Issued Building Permit 07_ Receipt a Issued