1971, 05-28 Permit App: I4576 GarageCounty ®f Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99209 �
APPLICATION FOR LAND USE OR STRUCTURE PERMIT %I g%
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.
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 OwnerAddress
Architec A Ahone Engineer
Contractor A_V( Address _
Legal Description of PropQrty bGive complp,$a description f;qm
d, tax rete
Phone--n-A -9- / '?99-
Phone
89Phone
Phone
DESCRIPTION OF WPRK: New. L' Addition. Y Remodel. Moving Bldg. Zone �— Fire Zone
Size of Lot -/,J /` Sewage System Stories
Const. Dimensions �� %� 4:2 Total Sq. Ft. 6,-5-e) Valuation
(Frame, concrete, brick, etc.)
Rooms Baths Basement Foundation Const. C tom- Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Ty of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. /ice ,� r[�A P- !/ No. of Units Bedrooms
Ga r Carport Attached Private Detatched.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2). street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
SOUTH
(3) location of -existing and
(6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
M` REQUIRED
Plumbing Permit
n+ Heating Permit
NSewage Permit
-a
Plans Received4YK7
Plans Checked
Plans Returned /
Plans- Picked Up
Plans Mailed
I hereby ceyfify infopmation subma ted is correct and there are no other structures located on this property except
as shown. 1_ _ ® i — / rj/ i
//,Wner or Agent �_� Date / / /
A LAND USE OR STRUCTURE PERMIT MUST. BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
101
Your street address Will be o d e zone is
Sewage Permit'Number -- Issued Building PermitS45nReceipt 6 /$ B Issued
Remarks 1i
Form 523 Bldg. Code