1971, 04-15 Permit App: I4031 Garage AppRa - . . 40
Spokan Co qty Rl -. , County of Spokane, Washington
D3* I 71/7/ BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
by� ��_ ! /ii APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0Y-----
GENERAL REQUIREMENTS PERMIT FEE 1,1
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 LINE 2O6,
Name of Owner Oil 2p ,List_______
Address ) / a 7 cf .,/_)e,Q h Phone(.(('i --/5c..
Architect Phone Engineer Phone
Contractor \SQ,/ L2,, Address Phone
Legal Description of Property (Give comple e d cription from deed,ia receipt, etc.)
/(o �') .2 --4090 --'0� � J /G ?-
DESCRIPTION OF WORK:New 'Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 0 ,X /.2---d Sewage System Storigp�e
Const. F,z- Q.92 e Dimensions 2 2--X 2- 9- Total Sq. Ft. s_S ValuatioxY��S/2)
(Frame,concrete,brick,etc.)
Rooms 4 Baths Basement Foundation Con -st. (7)2C/j Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. `� -- / No. of Units Bedrooms
Garage tar-Carport Attar-10.4. [�°l" ��p Private Detatched
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 State License No.
Ino. Ins. Acct. No.
a REQUIRED
N
Plumbing Permit
in Heating Permit
0 - Sewage Permit
-4
Z)- Plans Received
(j Plans Checked
c;)/' 4 ' Plans Returned
Plans Picked Up
1
Plans Mailed
V
�I
SOUTH
I ify information submitted is correct and there are no other structures located on this property except
as s -�-
Owner or,!:ent 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 I / The zone /-,L. . ---
Sewage Permit Number Issued Building PermitReceipt . / Issued
Remarks ,V U - - • -
Form 523 Bldg. Code