1973, 04-06 Permit App: K1173 Garage11► 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, 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 must 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 oowater 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.
PPLICANT FILL IN BELOW THIS LINE 9'07/6
ddress $. � '7'? i7xG�ir2.r Phone - o - z tr -
Phone Engineer Phone
Address Phone
Legal Description of property (G've complete desc tion from deed, tax receipt, etc.)
�a,G �r-ya
Name of Owner
Architect
Contractor
DESCRIPTION OF WORK: New p L/ Addition Remodel Moving Bldg. Zone ( Fire Zone
Size of Lo P �X -' n'7 Sewage System Stories
1,
Const. Dimensions c q Total Sq Ft. Z7 O / Valuation '-'e o
(Frame oncrete, brick, etc.) .�._
Room. Baths Basement Founds ion Const et�P 5,1 Ch ey Fireplace
(Full, part, none) HJ (Kind) (Number)
Heat. SystemType Roofing - / Ext Finish - Int. Wall Finish
Use of Bldg. ..^ re No. of Units — Bedrooms—
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.
NSRtH
I hereb
Jas sho
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
ed is correct and there are no other structures located on this property except
Date
A LAND USE OR UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
DO NOT WRITE BELOW THIS LINE
zone is
7 3 Receipt q sued
Form 523 Bldg. Code