1975, 11-07 Permit App: L2025 GarageCutnty of Spokane® Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT 100
GENERAL REQUIREMENTS PERMIT FEE/ -----------------
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta 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. Plater 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 BEL" THIS LINE
Name of Owne
/
Address ea- !a <rOSI
Phone
Architect
Address
Phone,
Engineer
Contractor
Address
k Address FIA ®7 ��
Ph�e
hbne - 07 25
Legal Descr'ptio
of Pr per y (Give
mplete description t2ed, tax re eipt, tc. 0
!J
DESCRIPTION OF RK: New Addition >5" Remodel
Size of Lot
Moving Bldg. Zone / Fire Z�ne
Sewage System onst. _/�!!�7� -
otal Sq. Ft. _-�JILZLaluation% .,
V' Conc., Br., etc.) ao
Valuation
Chimney Fireplace
(Kind) n� ( umber
Finish 7-1-17 .Int. Wall Finish g
No. of Units —Bedrooms
Stories ` Dimensi^^o//ne�s
Rooms L Baths � Basement Fou dation Const..
Full, part, none
Heat. System Type of oofi g Ext.
Use of Bldg. 0
V " 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 RESIDENTIAL — r0MMFRr:IAI
ttllAA•-i-
_W
M
a
State License No.
Ind. Ins. Act No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby certify inf9rination submitt-e-d,,is correct and there are no other structures located on this property except
as shown / // 7_
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 WRfff BELOW THIS LINE
Your street address will be (V The zone is
Sewage Permit Number Issued Building Permit Receipt o Issued
Remarks
Form 523 Bldg. Code