1971, 01-21 Permit App: I3319 GarageCounty of Spokane, Washington]
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 994017 .0 a
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 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.
Name of Owner
Architec
Contract
Legal
/ *
Al
s
PPLI ANT FI
IN BELOW THIS LINE %J L 3
Ar
ov,
rip it on of Property (G've complete description from de
mss Phone
Engineer
Phone..
Phone
ddress
Address
t
, tax receipt, etc.
DESCRIPTIONNQF WORK: New
Size of Lot 4 x / S-6
Const. Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
Heat. System Type of Roofin
Use s : dg.
Addition Remodel
Moving Bldg. Zone / Fire Zone 3
Sewage System Stories
�} Total Sq. Ft g � �Valuation
Foundation Const l .4._c h1 Q
ii
2
Chimney Fireplace
(Kind) (Number)
Ext Finish Int Wall Finish
No. of Units Bedrooms
CarporAttachet d J /
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-
te ynd water supply lines.
as s
NORTH
of
D wSOUTH l
e
ate Licens- o.
REQUIRED
Plumbing Permit
/6:'77 ;:Heating Permit
Sewage Permit
I hereb certify information submitted is
',
f
O_---._ „
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
correct and there
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property
except
Your street address will be
Sewage Permit Number
Remarks
DO NO
WRITE BELOW THIS LINE
Building Permit
e zone is
Receipt y
Form 523 Bldg. Code