1973, 10-01 Permit App K2911 Add to BarnCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 If -
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 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 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect Phone
Contractor
Legal Description of Property (6.L complete description from deed,
Address
Engineer Phone
Address Phone
tax receipt, etc.) / 7
DESCRIPTION OF WORK: New Addition ' 1
Size of Lot > :2_ / r.
C
Frame concrete, brick, etc.)
aBasement • Foundation Const
part, one)
Remodel
rns
Baths
Dimensions /0
(Full,
Heat. System Finish g T e of Roofing
. Finish
Use of Bldg.
Total Sq. Ft.
Moving
Bldg. Zone / Fire Zone —
Sewage System Stories
Valuation✓ � � C'
Chimney Fireplace
- C C
Garage or Carport Att
(Kind)
Int. Wall Finish
(Number)
No. of Units Bedrooms
Private Detatched
PLOT PLAN
Draw sketch withmensiors 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-
tem and water
supply lines.
..„„p-✓1i3c.,NORTH
,1.
I here y certi-fl4 nformatiti] submit d
as shown.
Owner or Q�gent
is correct and there
m
N
State License No.
Ind. Ins. Acct. 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
Date
/4-
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be )
Sewage Permit Number Issued
Remarks
�� — ���- -'��•�The zone is
Building Permit Receipt -4/4/2 Issued
h2'q/f
j
Form 523 Bldg. Code