1971, 03-16 Permit App: I3736 Garage AdditionCounty 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 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 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 Owner
Architect Phone
Contractor ,, 1%7LC
Legal Description of Property (Give c lete descripti
ddress 2&/j1 Phone (-e.}6
Engineer Phone
Address Phone
DESCRIPTIO
F WORK: New
Addition
deed, tax recei
.416 ...1 -��P-
-teniodel
t,
Moving
Sewage Syste
Total Sq. Ft
Size of L / -"At., , i
Con •.✓,.0.ii! 1 •imensions
(Frail , concrete, brick, etc.)
Roe. / Baths
Heat. System
Use of Bldg.
Basement
(Full, part, none)
Foundation Con
T of Roofing
Ext Finish
Bldg. Zone
/ Fire Zone
Sto
Valuatr 4--OD
Chimney Fireplace
(Kind) (Number)
Int Wall Finish
No. of Units Bedrooms
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-
tem and water supply lines.
NORTH
SOUTH
I hereby ,ert ^ y informat'on su itted
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
eo_z60‘-
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
<en Heating Permit
e 01. V.
Sewage Permit
is correct and there are
o'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
-76 7/
Date
CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will b
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
e zone
Receipt, s Issued
Form 523 Bldg. Code