1977, 03-11 Permit App: L7399 Garage4::oktifir of Spokane, Washi40gton
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 9940
APPLICATION FOR LAND USE OR STRUCTURE PERMI ��
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
whicha enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 9,-;32
Name f Owner ^`•% "' (-' k Address , V :2' U6i =' ,' '', f'iione z ‘jc.
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property (Give, complete description from deed, tax receipt, ptc•.)
/1..../4. _-mss '
.a"
DESCRIPTION OF WORK: New Addition Y Remodel Moving Bldg. Zone / Fire Zone _t_13
Size of Lot Sewage System Stora ,s.
Total Sq. Ft C. Valuation '/`• '
Const. - Dimensions
(Frame, c%%nccr�re__te, brick, etc.) ,,,,��/,�
Rooms tsaths �i�BasementYtO ��JJ —F oundation Const `-'�-" - t
(Full, part, none) (Kind) (Number)
Heat. Systemi/lifi"*-1--- Type of Roofing C7Pif Ext. Finish -ft `/ I Int. Wall Finish NIGH"..(,-^-,
j�7 -(• 't - No. of Units Bedrooms yrat^--1-----
Chimney r1 fFireplace1�'�"�
Use of Bldg.
Garage or Carport Attached 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-
tem and water supply lines.
m
N
NORTH
State License No.
y
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify..inormatiin s.mbgtitted is correct and there are no other structures located on this property 3xcet
as shown.
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 WRI E BELOW THIS LINE
Your street address will be�// A;
' .e zone is
Sewage Permit Number Issued / :uilding Permit ./ `� Receipt 4170 Issued
Remarks
Form 523 Bldg. Code
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