1975, 05-28 Permit App: L0244 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.
0
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. Wbere 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.
PLICANT FILL IN BELOW THIS 1
Name of Owne
Architect
Engineer J /
,/
3_R-' 71�„�
rte. A -q
DESCRIPTION OF WORK: New ,7 Addition
Size of Lot /! U ' X / 7 0
Contractor
Legal Description of Pr erty (Give comotetevdee
Address i /� . -ad Phon
Address Pho e
Address Phone
Address
Phone,
cription from deed, tax receipt, etc) /_415-4"/-- U
Stories Dimensiops 0- 7
Rooms Baths /V/ A- Basement Mf
(Full, part, none) r
Heat. System i(%/,G� Type of Roofi g
Use of Bldg. y..c.
PLOT PLAN
tea' terve - -0 . J7,4 0q"i/n
Remodel
Moving Bldg. Zone ! Fire Zone '3
Sewage System
t.
Conc., Br., etc.)
X Total Sq Ft 7V ual ation S c1 o
Q Foundation Const Ca/IC ✓—e � Chimney Fireplace
(Kind) (Number
Ext. Finish T /1/ Int. Wall Finish
No. of Units _ Bedrooms
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.
NORTH
I hereby ce
as shown.
SOUTH
formation sub
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
is correct and there are no other structure
located on this property except
_Amor Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 7l 50 ez,„-e,
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt '7'1
'
1
Issued
Form 523 Bldg. Code