1974, 09-18 Permit App: K5786 Garage• 111
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 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 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 UNE
Name of Owner 1 k4 ''r it Address
Architect Address i iD/ll Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Pro rty (Give complete scription from deed, tax receipt, etc.) 1. it: 1 1%' 4�' �aZ
L e fis .2 to- • b.4-ri'. j , I /4 ,-�.✓ Zo e -en ftc r
p
A CIA. , ' d /.-F 4- �1 �c.L 4„,;,/ Ye -amu _ /'S •► P/i + 7:Nfe 30
a Itr .e ,!'d. WA . ieS--S-y - /000 /
DESCRIPTION OF WORK: New
Phone 5-2 6-648
Addition
Remodel Moving
Size of Lot Sewage Syste
StoriesL_Dimensions --- X 2—j Total Sq FU 2- on 0
Rooms Baths Basement Foundation Const Chimney Fireplace
—Tail, part, none) (Kind) (Number
Type of fi _ �.. �/ Ext. Finish 7' / Int. Wall Finish
dg Zo
Fire Zoner
r , CBr., etc.)
aluati� <{ 4'43
Heat. System
Use of Bldg.
PLO 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.
No. of Units _ Bedrooms
o
ly
NORTH
G p
SOUTH
I hereby certify information submitted is orrect and
as shown f � L `^ r
4)
Owner or Agent
(‘A\
State .ce a No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
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 ` !'-' r - ij9 The zone is6
Sewage Permit Number ssued Building Permit 6 Receipt Issued
Remarks
`Form 523 Bldg. Code