1976, 04-14 Permit: L3402 GarageCbflnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 C,. 012 J✓
44.
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /a
GENERAL REQUIREMENTS PERMIT F
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or st{ucture 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 0
Architect
Engineer
Contractor
APPLICANT FILL IN BE • W THIS LINE
Qg-,2G6'
,Phone '('Jt -611 S
Address
Address Phone
Address Phone
Address Phone
Leescription of Property ( e complete description from deed, ax receipt, etc )
i2
DESCRIPTION OF WORK: New Addition
Size of Lot
9' a r
Remodel
Moving Zone
/ Fire , n
Sewage System /Y/f r}+ons
1 Fr., �•� C�„
Total Sq. Ftsid• Valuation 1
Chimney Fireplace A/
(Kin (Number
Stories / Dimensions / f X . n
Rooms / Baths tF Basement/i1� Fo dation,Cons'
uII, part, none
Type of Roofin
Heat. System
Use of Bldg.
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
RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
90
I hereby certify ipformation submitted i5 correct and there are no other structures located on this property except
as shown. /
`Owner or Agent Dgte
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
76
DO NOT WRITE BELOW THIS LINE
Tour street address will be 0 ! r ,y ' The zone is
Sewage Permit Number Issued Bu/lring Permit %3CLO. L Receipt
Remarks
Le 6 -ter S
'(�
Form 523 Bldg. Code