1972, 07-28 Permit App: J3926 MHCounty of Spokane, Washington.
BUILDING CODES DEPARTMENT. COURTHOUSE. SP K E, WASHINGTON "201
APPLICATION FOR LAND USE OR STRUCTURE PERMITL
GENERAL L
REQUIREMENTS
PERMIT ..__......
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
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kind or ouapec
Iter any building structure already erected, or to change a land use. Construction const conform with the,
Spokane nty Building Code and Zoning Ordinance. Construction is subject to instion,
WA e, Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
`
thpurface, shoulders or ditches of County Reds, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 seed 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 251 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
Highwhy, 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 LIME
Name of Garner
Address Phone
Architect ne_ __Engineer Phone
Contractor • ' Address
Legatl Descrip on of Property ,Gi complete de$cription from deed, tax receipt, etc,)
17ESCRIPTIC")N DF Wt1RK: New Addition Remodel Moving Bid Zoz}e �--� --- Fire Zone
Size of Lot Sewage System Sto ' s
'T 5
F
Dimensions � Total Sq. Ft.
, concrete, brick,ete.)
s Baths Basement��one)
°' Foundation Const. Chimney Fireplace
(Kind) (Number) 112
{Full, part,Beat. Systen2 Type ing Ext. Finish Int. Wall Finish
Use of Bldg. C2-- No. of Units Bedrooms
} Garage or Carport Attached Private Detatehed
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; t3) location of existing and
proposed buildings; (4) distance to property lines and streets: (5) dimensions of buildings: (G) location of sewage sys-
tem and 'water supply lines. State Lice n e No.
NORTH
n- Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
on Heating Permit
"'" 1A
4A Sewage Permit
.ora
y -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify formation submitted is correct and there are no other structures located on this propert ceps
as shown.
Omer or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST RE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1,S NOT A PERMIT.
IlA NOT WRITE BELOW THIS LIHIS
r Your attest address will be µ rad r X64 „ �" a Zane i
Sewage Permit Number Issued Building; ermit�. Receipt Issued ----
Remarks
m 523 41dg. Cade