1971, 09-16 Permit App: J0692 GarageCounty of Spokane. Washangton
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT go
GENERAL REQUIREMENTS/ -----:-
PERMIT FEE.../.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ani
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 on eater 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 OP BUILDINGS. A permit is required to move an existing building. When a building Is moved on a County or State
Highway, clearance must he 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.
AP;' ICANT FILL IN B LO THIS LINE
Name of Own
Architect Phone Engineer Phone
Contractor 24-61-10Address Phone
L gall Deessc%ripttj(j on of Property (Give complete description from dee,, tax receipt-/16`,532-/R
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DESCRIPTION OF WORK
Size of 4
(Fr.j's
R.
New
Addition
imensions
e, concrete, brick, etc.)
Heat. System
Use of Bldg.
Garage or Carpo
Baths
Basement
(Full, part, none)
Type of Roofifijig
er
Attached:
.20.1'.).
Remodel
Foundation Const
Moving Bldg. Zone / Fire Zone
Sewage System Stories
Total Sq Ft u�0 Valuation
Ext Finish
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
/Qa / ON)t
Priv; Detatche
Bedrooms
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.
H
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
to Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information subm d is correct and there are no other structures located on this property except
as shown. "LM
Owner or Agent
7- /4-7/
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 be J/9Q („ 4_
Y cy
{�/�,�'he zone
Sewage permit Number Issued Building Permit `!o"/ vao,.eipt
Remarks
15
ued
Form 523 Bldg. Code