1973, 08-31 Permit App K2655 BarnCounty of Spokanem 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 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
Contractor}&,C(j Q_
���✓�9 • /lam
Address Ci / 7 7 ,3 / Phone WA �7/
Phone Engineer Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc
P J� Cam/ 61—eiGQ
DESCRIPTION OF WORK: New %� Addition
4Size of Iapt 4iC .<. 1(.:(43ib
Const. _ Dimensions /�2 X
(Frame, concrete, brick, etc.)
Rooms Baths Basement --
(Full, part, none)
Heat. System ��//,�� T pe of Roofing
Use of Bldg. -ICJi,L2(..' (jy� LPG
Garage or Carport Attached
4/
7-/?,4 C t- ,Ex C N / 6vA t!
Remodel
Moving Bldg. Zon
Sewage System ��,I.rt
Total Sq. Ft. c2 Valuation , ' UD
Fire Zone
Stories 1
O
Foundation Const l iz a_'t _ .e."-- Chimney -- Fireplace
(Kind)
Ext Finish.0 3nt. Wall Finish
)
(Number)
No. of Units Bedrooms
Private Detatchcd
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-
tem and water supply lines.
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NORTH
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SOUTH '
I hereby certify nformation submitted is correct and there
as show
Owner or Agent
_ A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
0,0
State License No.
C1.LL�`K.e��-•
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
N Sewage Permit
-4
•
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this
property except
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be <<l , / 7 7 1 _, -e R CI-4 The zone is t-6,e,We 0
Sewage Permit Number Issued Building P rmit Receipt 4// (t Issued
Remarks I
Form 523 Bldg. Code