1972, 06-12 Permit App: J3381 GarageCounty 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 most 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 Owne _.. Address
005 7 Ce Phone' 7?).‘
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description petty (Give comp description f tax receipt etc.) / ,S — l
l
i
DESCRIPTION OF WORK: New S( Addition
Size of Lot l -r-/
Dimensions 2X 1`/
co rete, brick, etc.)
Rooms 1 Baths Basement
(Full, part,
Heat. System / / Ty' . - oofing
Use of Bldg. r �G
Remodel
Moving BI
Sewage System
Total Sq. Ft.
Foundation Const
Garage or Carport Attached
5.
one Fire Zone
Stories
Valuati rV- s o'a.
Chimney
Fireplace
(Kind) (Number)
Ext Finish
Int Wall Finish
No. of Units _ Bedrooms
Private Detntched
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.
NORTH
SOUTH 210
State License o.
Ind. Ins.Acct.-ROT—
REQUIRED
cct. I�OT
REQUIRED
Plumbing Permit
• Heating Permit
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 rt
as sh except
own. —7
Owner or Agent (/ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LIE
/
Your- street address w111 be 7? c7 O /
Sewage Permit Number
Issued Building Permi " 30
Remarks
The zone 1
Receipt
Issued
. -Form 523 Bldg. Code