1971, 04-26 Permit App: I4124 Garage• lb
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
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 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 thestructure 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 �S� �J
Contractor v� 4.
ddress
_ ngineer JJ
Address1,4tz3-9.�
Legal Description of Pr9pe$Y (Give complete description from deed, tax recei(St, etc.)
7�75-3%-/---z7/�
Phones, -/7# 7
Phone
Phonve4e-,a -9777
DESCRIPTION OF WOR/K: New Addition Remodel f ---coving Bldg. Zone / Fire Zone 3
Size of Lot ) a / ( J
Cons l Dimensions / /1 )L .a -a Total Sq Ft. ri- cJ 3 Valuation�‘•0W
(Frame, concrete, brick, etc.) (
Rooms Baths Basement Foundation Const LI-Cr/re-Ai L -C o Chimney Fireplace
(Full, part, none) (Kind) (Number)
Ext Finish
Heat. System Type of RoofingInt. Wall Finish
Use of Bldg. 62? 4� ,Ca F, J t,1y.,. No of Units Bedrooms
nrage or Carport Apache ` a!•,/A , • ` , •r.nv. is aletched
Sewage System
Stories
PLOT PLAN
Draw sketch with dimensions showing: (1) operty lines; (2) street or road locations; (3) location of existing and
-'
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH /!
SOUTH
itbr
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Perini�
in
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information supmitted is correct and there are no other structures located
as shown. ,f Yta--tt /ri/ 01-2 �/a I7
Owner or Ageh Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
on this property except
Your street address w111 be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
ssued
Buil.ing Perm
e zone is
Receipt/7'S( ) Issued \ ✓
Form 523 Bldg. Code