1971, 11-05 Permit App: J1217 Garagel R ;iy ' ,T
i _, i,
_N._� ��- �7/--Caunty of Spokane, Washington
'____ .DES DEPARTMENT. COURTHOUS"c. S'OKANE, WASHINGTON 99201
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 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 Nn . 45-13+3 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back free 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 he 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.
9D�
Name of Owner
Architect
Contractor
Legal Description of Property (Give
APPLICANT FILL IFI BELOW THIS LII
•. .i
Address e. / 7 8 % ii/. it ��1 Phone - 36-3
Phone Engineer Phone
Address Phone
complete description from deed, tax receipt,
etc.) ,P,c +C'1.# —D „ /J
DESCRIPTION OF WORD: New /r Additio
Size of t "PA Q3 X / 7 /I /
Const" ----4-0.441L Dimensions c a X ....-,0
(Frame, concrete, brick, etc.)
Rooms ^ Baths — Basement — Foundation Const2:' { __ Chimney— Fireplace —`
(Full, part, none) (Kind) (Number)
Heat. System Type g oofing e Ext Finish 7- /1/ Int. Wall Finish
Use of Bldg.--/..�Q
-Q-
Remgdel
Moving Bldg. Zone / Fire Zone 3
Sewage System, Stories /
Total Sq. Ft. / QD Valuation .26 DO g
Garage or Carport Attached
No. of Units 'Bedrooms
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or ro:'.d 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
pRePcs�A
RASE
.6x/Si /MCc
Mo 1.4/4.-�
ICOM
SOUTH
/-2.,g(1-1
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
-41
Plans Received
Plans Checked
Plans Returned ✓
Plans Picked Up
Plans Mailed
I hereby c• -""ify information submitted is correct and there are no other structures located on this property except
as shown. /
JI
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES QEFOQE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE REL,OW THIS Mr:
Your street address w111 be
Sewage Permit Number
Remarks
El da/,' The zone i8
Issued Ruildirg Permit - /c ` 2 Receipt 3 7. 9 Issued /1-5--7/