1972, 08-28 Permit App: J4211 Garage AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G5
PERMIT FEE
GENERAL REQUIREMENTS
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
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.
NATER. Water 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.
CO4INTY 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
l{ighway, 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IU BELOW THIS LIENEE
Name of Own
Architect
Contractor
Legal Description of Property (Give
.2_---,C3L- rC /.5
__Address
Phone Engineer
Address L,
comp -te description fr+m d-� di fax ,receipt, etc.) Q,�e..40- �' 6S4S'
ya-o6
Phone W24-4- 7/9 g
Phone
Phone
DESCRIPTION OF WORK: New Addition % Remodel
Size o�lf t
t . Dimensions
(Frame, concrete, brick, etc.)
Rooms / _Baths --- Basement
/ D X '.2
Heat. System
Use of Bldg.
(Full, part, none)
Type of • •ofilg
SII
Moving Bldg. Zone / Fire Zone
Sewage System Stories
/ dc)
Const Sq. Ft, / Valuation 7 5
Foundation Const. ( X�li(iWV-
Chimney
Fireplace
(Kind) (Number)
Ext Finisnt Wall Finish
o. of Units Bedrooms
Garage ige or Carport Attached 7 PtMatched
hrd
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.
PLOT PLAN j2
N
m
NORTH
4-141
/GD
410S7/14 Cr
/Q,6s/oANC E
11q
4a
L
v
1 hereby ce
as shown,
SOUTH
ify information submit
State License No,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ed is correct and there are no other structures located on this property except
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 be 6At-t,t-L-ftd, __The zone i. 44
Sewage Permit Number Issued Building Permit c ! Receipt' Issued
Remarks � ! �_
Form 523 Hid., r..,I.