1971, 04-07 Permit App I3933 Demo ShedCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 76�
GENERAL REQUIREMENTS PERMIT FEE_ .L2
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 mast 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 r .sing with the land
which are enforceable through civil action. County Officials can not bring action ce cove': ,s or dedications.
APPLICANT FILL IN BELOW HIS LIN�., :' J
Name of Owner � L�/1��= �*'l ddress --�' �. / Phone
Architect 1 •`,one Engineer Phone
Contractor D ' Address / O S p Phone Zer--- �ci - %
Legal Desc ip ion of Property ( '. a complete description fk deed, tax receipt, etc.)
—'6)
( l
t 11
DESCRIPTION OF WORK: New Addition Remodel /
Moving Bldg. Zone Fire Zone
Size of Lot Sewage System Storie �/ ram/
Const. Dimensions G' x / (J.'')• <9 .a - Total Sq. Ft S� 7 Valuation % I2 ?iP
(Frame, concrete, brick, etc.) ��ll
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units Bedrooms
Garage or Carport Attached 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
SOU TH
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify formation submitted is correct and there are no other structures located on his property except
s shown. +
Owner o Agent
A LAND USE OR STRUCTURE PERMI MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Date
Your street address will be
Sewage Permit Number
Remarks
-, DO NOT WOW THIINE
e zone is
Building Permit ?� f; 3� eipt I ued
ill
Form 523 Bldg. Code