1974, 08-16 Permit App: K5533 GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /�
GENERAL REQUIREMENTS PERMIT FEE /1-
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner /70 ,. , a L k: t 4 4, - J s., AI Address L- / 7-,.g/ ci 0: rade if i) Phone "i -ad
Architect Address Phone
Engineer — r D w , Address, - Phone
dress ra�� / l4"7 `j
Contracto
Legal Descr tion of P erty Wive comple escription from ed, tax receipt, 1
5/, AZ ''/e
DESCRIPTION OF WORK: New '' Addition Remodel Moving Bldg. Zone ( Fire Zone �-
1i4s —- % Sewage System .Ser7; e- onst.
Size of Lot ,---/'/. /t'1 e -
�G e (Fr., Conc., Br., etc.)
Stories Dimensions X 2 �) Total Sq. Ft yf 1' Valuation del'
Rooms Baths Basement Foundation Const e e' fife r -.7 --Chimney
(Kind) (Number Fireplace '—'
(Full, part, none) /
Heat. System Type of Roofing c ii •? /� Ext. Finish 11 L 0 S1 Jc= Int. Wall Finish
Use of Bldg. Or a V 7. [, — A.R,p-ti___ No. of Units._ Bedrooms
PLOT PLAN
(2) street or road locations; (3) location of existing and
5) dimensions of buildings; (6) location of sewage sys-
G
Draw sketch with dimensions showing: (1) property lines;
proposed buildings; (4) distance to property lines and st
tem and water supply lines.
NORTH
m
4r
SOUTH
I hereby cert,ffy information sutlmittgd4s correct and
as sh m:.
Owner or Agent
there are no other
Ind. Ins. Acct.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Receive
Plans Che ed
Plans Return
Plans Picked Up
Plans Mailed
structures located
on this property
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
except
Your street address will be
Sewage Permit Number Issued Building Permit A`J S 3 Z Receipt2Y`'`_ Issued
Remarks 7
DO NOT WRITE BELOW THIS LINE
,4_e_'4'he zone is
Form 523 Bldg. Code