1971, 07-06 Permit App: I4964 Garage• •
County 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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Rater 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
od
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Name of Owner ! f QhKU. k'l 1Qf7 Address Y/4 55
. 13 la %rl Phone WA 4-%
Ia'J
Engineer Phone
Architect
Contractor
Phone
Address
Leg: DescriptionAf Property (Give comp/ e� description from deed, tax receipt, etc.)
Phone
n3- l /
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone l Fire Zone 3
Size of Lot i8 0 X ,,.00 Sewage Systema Stories / / 629 D v
Const. Dimensions )( /2_ Total Sq Ft. i4/ ' Valuation 4=grICI
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const Chimney
0.0
Heat. System
Use of Bldg.
rage or
Fireplace
(Full, part, none) (Kind) (Number)
e of Roofing �.GUNU n+ 44 44/1) Ext Finish Int. Wall Finish
-trport Attached
No of Units Bedrooms
Private Detntched
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.
011
/�kuALState License No.
llA.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ce tify information submitted is correct and there are no other structures located on this property except
as shown. t}/�� `
OF V' Un—, 74/7/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will beg T q me zone is
Sewage Permit Number Issued Building Permit cJ ?, ceipt j536 Issued 7-6-7/
Remarks
Form 523 Bldg. Code
AL