1971, 10-04 Permit App: J0921 Garageto •
County of Spokane, Washington
BUILDING—CODES-DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPROVED AS NOTED 1
Spokane Cot ntyAPPLIGATIQN FOR LAND USE OR STRUCTURE PERMIT
GEN
PERMR� UIREMENTS PERMIT FEE_ /
I_ lie.
IT ap ls( or structure -. -
e permit is required by County Resolution to erect a building or structure of any
kind. erg y tpg or struct' a already erected, or to change a land use. Construction must conform with the
SpOFane- y fll ng.CodeAandapdan Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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 47235
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
Hlgbiay, 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 ea$- ents running with the land
which are enforceable through civil action. County Officials can not bring action to enfor 1 coven:'ts or dedications.//
Phone (Pi %J — 631 ert
APPLICANT FILL IN BELOW THI INE
Name of Owner SIS ice. ddress
Architect /l Phon c---- gineer
Contractor i ���-
Legal Description of Property (Give complete d
•SS
<<l a ire
grn as -it 9L"" .,"Oa.
DESCRIPTI OF WORK: New (Additi n
Size of L.r&}� f47 (ia, j •�
Con �/ i . d %imensions .R X 2- 2—, r
(Fra j, concrete, brick, etc.)
Baths
i
iption from geed, tax receipt, etc.)
Phone
Phone
Remodel Moving
Basement
(Full, part, none)
V Heat. System Type of Roofing
Use of Bldg.
Foundation Const
1 or
Bldg. Zone i Fire Zone
Sewagettem �y Stoles
Total
SSq FF[ 'v`'�aZt"T Valuationn�(���
f
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Ext Finish
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.
Private Detatched
NORTH
SOUTH
I hereby certify information submitted is correct and
as shown. >2,i_mA r D i _ n
Owner or Agent
Plumbing Permit
w Heating Permit
Sewage Permit
-4
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other 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.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
00
1
zone is
Receipt
ssued
Form 523 Bldg. Code