1973, 08-31 Permit App K2656 ChickenhouseCounty of Spokane, 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.
Name of Owner
Architect Phone Engineer
Contractor .•c-Ctc-e
APPLICANT FILL IN BELOW THIS LIN
Address
Legal De
Address
iption .f Property (Give complete description from deed, tax re eipt, etc.)
— l g .� � - I/ - g'/. 3 r
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of t'
Const fia711/-e. — Dimensions 4.7
(Fr e, concrete, brick, etc.)
Rooms Baths — Basement Foundation Const
(Full, part, none)
Heat. System of oofing4i274o� -Ext
Use of Bldg✓f7�' �q.
Garage or Carport Attached xGY X�-
Moving
Bldg
Sewage System
TotaSq. F ./ �
one
one LCJ L?
hone
Phone
tr. Fire Zone
C� StoriCs -
Valuation ' C? 0
Chimney Fireplace
/� a (Kind) (Number)
Finish (2L i ie/44 ,i , Wall Finish
Nof Units Bedrooms
Private Detatched
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 a'id streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
8 of
• .r
X� C
y
4
4to
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NORTH
Prcprsed r? h rCite
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4
444)
SOUTH
use_
I hereby certify information submitted is correct and there
as shown.
. 'may(
Y /
'
Owner or Agent
State License No,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Per t
Heating Per it
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on
Date
this property
except
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 • / ! % c ,
Sewage Permit Number
Remarks
The zone is
Receipt q/g7-/
ued
Form 523 Bldg. Code