1972, 05-18 Permit App J3104 TrailerCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,
GENERAL REQUIREMENTS PERMIT FEE 1/3 UG
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 Owne
Architect
Contractor
Legal Descripti
ddress
-�A Phone Engineer
of Property (Gi a complete description from deed, ax rece
Addres
Phone
Phone
Phone
DESCRIPTION OF WORK: 5 ew fr..-- Addition Remodel
S' of Lot / / j ' 2j
� '� �"�t "a dimensions /? X g"
(Frame, concrete, brick, etc.)
Rooms 3 Baths —Basement
(Full, part, none)
Heat. System / Type of Roo
Use of Bldg. 1 / -/ 0
Garage or Carport Attached
f��
Foundation
Moving Bld �Zone / Fire Zone 73
Sewage System Stories /
Tot�alll�{Sq. Ft. ..1-2 l� Valuation �� D
ConstCt J 4
Ext. Finish
PLOT PLAN
L.
Chimney — Fireplace
(Kind) (Number)
Int. Wall Finish /i/'iZ --
No. of Units Bedrooms /
Private Detatched
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
CAf?,C1SL.E
NOKTH A v�
• PRO Tao
I,
AS'
i
f
3y1
SOUTH
I hereb ce tify information submitted is correct and there
as shown. ��
Owner
r gent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
• Sewage Permit
are no other
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this
property except
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 bee
Sewage Permit Number Issued Q Building P it
for
Remarks
The zone is
Receipt q 70n
Issued
Form 523 Bldg. Code
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