1973, 12-06 Permit App: K3375 GarageCounty 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
whit are ,enforceable throug civil action. County Officials can not bring action to enforce covenants or dedications.
��,�. APPLICANT FILL IN BELOW THIS LINE l ?dC'
Name of Owner _ 1 Address /_ � /� Phone S.3 Si - � L /
Architect Phone Engineer / Phone
Contractor •' cst �tQ Address Phone
v
Legal D cription of Pro erty
1s /4
ive complete descripti
DESCRIPTION OF WORK: New Addition
Size of L / ' X � .3S / ,g
Const. 4 r_ — Dimensions �f' "X c ci
(Fram', concrete, brick, etc.)
Roo Baths
Heat. System
Use of Bldg.
Basement
(Full, part, none)
-Type oif Roofing
from deed, tax r -.eigt
Remodel
Moving Bldg. Zone / Fire Zone 3
Sewage System Stori9s
/
Total Sq. Ft. 6-41-c__}. Valuation -? cs r3 .
i
Found. tion Const.
Garage or Carport Attached
a-4_ a
if -z (-1 -_e2-e ... Chimney Fireplace --
/ (Kind) (Number)
Ext Fini h \---1--- !/l / Int. Wall Finish
f Lz' l;�C P No. of Units — Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensiS,(s showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and stFeets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
Aga
t/
Ck
e
I hereby c
as shown. k
Seeeigigel
tify info mat4on submitted is correct and there are no other structures located on this property except
!
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Pe
Heating Permit
Sewage Permit
Plans R- eived
Plans Check
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent
/16,. //
Date
A LAND USE OR STRUCTURE PERMIT MUST BE 0 H PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / 4 ' C�
Sewage Permit Number Issued
Remarks
Building Permit
3j ))
e zone is ,C it i l --
Receiptia-, Issued
Form 523 Bldg. Code
F- �c ee e.c.2.ic¢- situ, q-21-(004)--