1974, 10-11 Permit App K6026 Add to BarnCounty of Spokane, Washington
Da
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 r.�^
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 stlwctatre 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. 45-133 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 en once covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 9Ic
Phone 9-2,
Phone
Name of Owne
Architect
Engineer
Contractor
Legal Description of Pr
Address
Address
DESCRIPTION OF`W6RK: New
Size of Lot
Stories _Dimensions
Rooms / Baths — Basement
(Full, part, none)
Address
Address (\
Phone —
Phone�xs
(Give complete description from deed, tax receipt, etc )
Addition Y Remodel
��8
/? / �/ r�2 �-
Heat. System pe of Roofing
Use of Bldg. #��..e-e1'--,fJy
`-"' , Ext. Finish P�
_7
PLOT PLAN
Moving Bldg. Zone Fire Zope
Sewage System oust
Fr., c..,,yBr., etc.)
Total Sq. Ft , "� 3 Val ation,C/ (Q CO
Foundation Const C: - /J' � - Chimney . Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units -4-Bedrooms ----
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of
tem and water supply lines.
44.494PFH
hereby certify information submitted is correct and there
as shl{wn.
and
sewage sys-
State Lic nse No.
Ind. Ins ct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
, . .+E ///. /.4 `1/
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks / -42 a,37
Qom,
DO NOT WRITE BELOW THIS LINE
e zone is
Receipt r,53r 'IJsued
Form 523 Bldg. Code