1971, 07-16 Permit App: J0067 GarageAPPROVED AS NOT!✓D
Spokane C ty Bld . Code Dept.
Date % / Co
by
G CODES
• •
unty of Spokane. Washington
DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
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 ort structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
G "
Name of Owner ��-C/`tQ, � �C�t.c..^2-- Address 177 j �- �r 1.-a�w�g Phone �li� � 93
Architect l L Phone Engineer Phone
Contractor Address Phone
Legs 'ption o roperrrty (Give complete description from deed, tax receipt, etc.) /La Q -h ta✓
It
MIP
DESCRIPTION OF WORK: New rt� Addition
Size of Lot .5 Cf1/.,-2 _
r
Const • 2 /te- Dimensions ..2.X. 36
(Frame, concret; brick, etc.)
Rooms / Baths Basement Foundation Const Chimney Fireplace
J (Kind) (Number)
/
Ext Finish — /— J / Int. Wall Finish
No. of Units Bedrooms
Remodel
Moving
Bldg. Zone
Fire Zone
Stor gs ?,.5-7Y a
)
Sewage System
0
Total Sq. Ft.
Valuation
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg. Iter —
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
to
NORTH
v
06 �► ( y'''}��
SOU TH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
D
rn Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
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 WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
G'
Issued Building Permi
A. II 'C) Utir�
e zone s
ceipt
ssued
Form 523 Bldg. Code