1972, 08-22 Permit App: J4122 Garage•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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 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 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 au 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
� ress T ELU
Name of Owne��� � � ���- / ,� 7
Architect doaPhone Engineer Phone
Contractor Address Phone
Legal Description of PropetF y (Give complete descript' n from deed, tax r ceipt, etc.) ® tt5-,S 2. --2, / 6 /
•
o0
13 2 0
DESCRIPTION OF WORK: New X Addition Remodel
C• • �� Dimensions 5 & 21/
ncrete, brick, etc.)
Size of Lot
Heat. System
Use of Bldg.
Baths
Basement Foundation Cons
(Full, part, none)
Type ofj Rogf)n• ii i Ext. Finish
Moving BId
Sewage System
Total Sq. Ft. 3
Zone Fire Zone T
St ies p t
valuati i - OO
Chimney Fireplace
(Kind) (Number)
Int Wall Finish
Garage or Carport Attached (/
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 certify information submitte is correct and there
as shown.
Owner or Agent
a
N
y
State Lic e�
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit 4:::::::eer_j_r_cs
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located
on this property except
—��
Dat e
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
Remarks
DO NOT WRITE BELO "._ THIS LINE
Issued
Building Per
e zone
Receipt
:e
-�? ssued
Form 523 Bldg. Code