1971, 07-16 Permit App J0095 Add to Trailer/t/
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�- 1, County of Spokane, Washington
77)/ i
r 'BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT./ c
REC�UIREMENTS PERMIT FEE
GENERAL
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.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a
least 25' is required, a 5' side yard, 15' side yard from a flanking street,
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be
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 EH BrZLOW THIS LINE %% 6.5,,
Name of Owner
Architect
Contractor
Legal Description of roperty (Give complete
ddress
Engineer Phone
Phone
45-133 and 47.235.
set -back from the front property line, of at
and a 25' rear yard are required.
obtained pertaining to set -back and ingress
Address
description from deed, tax receipt, etc.) 4 2 ee) el
57 /- Phone•
DESCRIPTION OF ORK: New Addition
Size of Lot C.� /! / -C_)
Const. ��.,(,mz(-' Dimensions h .
(Frame, concrete, brick, etc.)
Rooms Baths ' Basement
(Full, part, none)
Heat. S ste �'- % � 'T y // -�—yQe of Roofing
Use of Bld % :!^��
Remodel
Foundation Const
f_
g�
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Moving
Sewage Syste
•
B1dg.,Zone Fire Zone c!•t- Stori f
Total Sq. Ft. 5 aluat e5CJ Go
Chimney Fireplace
(Kind) (umber)
Ext�'inish �j/% Int. Wall Finish
/~►. ��/s r No. of Units Bedrooms
Private Detatched
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-
(, C,' SOUTH
I hereby certify infor tion submitt is
as shown. `J
Owner or Agent f! Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCT!
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
State Li a No.
Ind. Ins. Acct. No.
ItEQUIRED
Plumbing Permit
n� Heating Permit
A Sewage Permit0,0
/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
%/
COMMENCES.
Building Permit �J yt �� -- �L'
�r irGlL Rece issued
Form 523 Bldg. Code