1972, 06-01 Permit App J3269 TrailerCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction must
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,
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.
Address ? /9/ Phone /c 4/4 o C
Engineer _ Phone
Address Phone
gal Description oflPro erty (Giv complete description from. deed., tax receipt, etc.) / 7 $,S ? —
APPLICANT FILL IN BELOW THIS LINE
Name of Own
Architect
Contractor
j--/ 5— S" X3'
structure of any
conform with the
of at
DESCRIPTION OF WORK: New X Addition
Size of Lot' 74' ' //3
Co�a�� Dimensions
cogprete, brick, e,tc.)
s Bathy Basement
seat. Syste
Use of Bldg.
(Full, part
Type of Roofing
Remodel
Moving Bldg. Zone /
Foundation
Con
�-► Ext Finish
Fire Zone ---
Sewage System r Stories
Total Sq. Ft. / C:0 aluatic /Z G C
I
Chimney - Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
-Garage or Carport Attached Private Detatched
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
to
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
State Licenfe No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informations witted is correct and there are no other structures located on this property except
as showl/
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(r, J /(e)4Pf c/
Your street address will be 2 / ,/ 3 /
DO NOT WRITE BELOW THIS LINE
Phone
e zone i
Sewage Permit Number Issued Building Pe4t Receipt 1 (. Issued
Remarks
Form 523 Bldg. Code