1978, 02-14 Permit App M4864 BarnOwner or Agent
410 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE fe
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 Rork 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
G LINE ?f'.03 7
Name of Owner C.1 J P r /! //O S Address E1 / 700 0 LSO cs cr itr t; Phone 922 - / 0? 3
Architect Address
Engineer �^ �A Address
Contractor Address
Phone
Phone
r�r,r, Phone
Legal Description of Property (Tye complete description from de d, t eccipt, etc.) Parcel Number/ /�' r � XY, d / 4)1
A/. '•..2 r 6 Y F- • 2f 7, ell /r_ 7/ T,Q4 c 7T ) 1/L4
DESCRIPTION OF WORK: >New Addition G Rem9del
Size of Lot J�f . .z'2 ' )( /2 Qr 6 Re
Moving
Sewage System _, 1
Stories Dimensions d 0 '
Rooms / Baths y' ( er, Basement
separnone ���
Heat. System Aid �� Type of Roofing
Use of Bldg.
Foundation Const
Bldg. Zone
��
Ext. Finish / / 1/
/ Fire 7pne
onst. / KQ '''e--1
/ (Fr., Conc., Br., etc.b
Total Sq. Ft QQ Valuation 5U
dri" C'saC Chimney Aff4— Fireplace 4.1°A^' —
(Kind) {Number
Int. Wall Finish
No. of Units4Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
propose • ..11dings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em water supply lines.
a ("NORTH
,✓ LCJ
fie
f $ .47 Y' SOUTH
I her by certify information submitted
as shown.
is correct
and there are no
rn
N
1
ESIDENTIA
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
02 --- r•---
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE /
Your street address will be E / 7uO d%Zf{ ��7 lief/ �� The zone is ,' !
eig
Sewage Permit Number Issued Building Perm �1 Receipt Q � 0 Issued
Remarks
Z1
Form 523 Bldo. Code